Journal of Yeungnam Medical Science

Volume 7(2); December 1990

Reviews

The development of organ transplantation.: Bo Yang Suh; Yeungnam Univ J Med. 1990;7(2):1-11. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.1

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Abstract PDF: No abstract available.

Dermatophytes Isolated From Korea.: Ki Hong Kim; Yeungnam Univ J Med. 1990;7(2):13-26. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.13

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No abstract available.

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Decreasing Incidence of Trichophyton mentagrophytes in Korea: Analysis of 6,250 Cases during the Last 21-Year-Period (1992-2012)
Weon Ju Lee, Kyung Hea Park, Mi So Kim, Seok-Jong Lee, Do Won Kim, Yong Jun Bang, Jae Bok Jun
Journal of Korean Medical Science.2014; 29(2): 272. CrossRef

Original Articles

Distribution patterns of cytoskelectal proteins in cardiac endothelial cells : Investigation using monoclonal antibodies.: Han Chul Kim, In Hwan Song, Yung Chang Lee; Yeungnam Univ J Med. 1990;7(2):27-37. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.27

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Abstract PDF: To investigate the changing patterns of microfilament and microtubule arrangement and influence of myocardial cells and colchicines to microfilament and microtubule formation in cardiac endothelial cells the authors carried out indirect immunofluorescence stain for actin and tubulin with supernatant monoclonal antibodies. Secondary antibodies were IgG FITC conjugate. The results were summarized as follows. Fiberform reactions were stronger in the cells with many processes and spread cytoplasm and they became weaker after the endothelial cells formed monolayer. In the endothelial cells cocultured with myocardial cells the fiberform of the microtubule became less visible compared to control group but fiberform of the microtubule maintained strong intensity as endothelial cells formed monolayer. In the group treated with colchicines, there were no visible differences in microfilaments compared to control group but fiberform of microtubule revealed weaker intensity after colchicines treatment. The intensity of microtubule fiberform returned to control level after 2 days.

A Clinical Study of Congenital Duodenal Obstruction.: Young Soo Huh, Bo Yang Suh, Koing Bo Kwun; Yeungnam Univ J Med. 1990;7(2):39-48. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.39

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Abstract PDF: Congenital duodenal obstruction in the newborn infant may be due to a variety of causes. Duodenal obstruction often presents with bilious vomiting and upper abdominal distention. Diagnosis is usually established on plain x-ray of the abdomen by the classic finding of the double-bubble. In the period July 1986 to June 1990, 16 patients with congenital duodenal obstruction were operated and the following results were obtained. 1. Sixteen patients were comprised of 11 males and 5 females, the ratio of male and female was 2.2:1. 2. Thirteen patients (81%) had been admitted to our hospital during one month of life. 3. Congenital duodenal obstruction was in 16 cases; malrotation in eight (50%), annular pancreas in six (38%), type 1 atresia in one (6%), and wind-sock anomaly in one (6%). 4. There were two premature patients and six patients of small for gestational age. 5. Overall, bilious vomiting, occurring in three fourths, was the single most frequent presenting complaint. 6. Polyhydramnios occurred in two of the patients. 7. Diagnosis was possible with clinical symptom and simple abdomen. 8. The operative procedures performed were; duodenoduodenostomy in five, duodenojejunostomy in two, excision of wind-sock membrane in one, and Ladd's procedure in eight. 9. A total of ten associated congenital anomalies were found in six patients. 10. Postoperative complications occurred in five cases (31%).

Palatoplasty with Reconstruction of Levator Sling (Preliminary report).: See Ho Choi; Yeungnam Univ J Med. 1990;7(2):49-54. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.49

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Abstract PDF: Ten cleft palate patients were operated with reconstruction of levator sling without pushback for the purpose of not to make raw surface in the anterior portion of hard palate to prevent maxillary retrognathia. Speech was evaluated by using speech assessment list. Maxillary growth was not evaluated due to in-growing age in majority patient. The report will be followed in next chance. We could impose the significance in clinical application of levator sling palatoplasty without any complications but improving speech.

A study on the attitude toward dying and hospice.: Young Uck Kim, Jung Hoon Lee, Jong Bum Lee, Byung Tak Park, Seung Duk Cheung, Myung Se Kim, Hoo Ja Kim; Yeungnam Univ J Med. 1990;7(2):55-66. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.55

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This research is focused on the attitudes toward dying and hospice. 4subjects groups are Ca. patient, Ca. patient's family, elderly, medical personnel. A 40 questionnaire was filled out by each participant. For this study chi-square and T-test was done. The results were as follows: 1. Telling the truth 61.2% of all subject groups agreed upon telling the impending death. About 40% of elderly group and cancer patient group were disagreed which is the highest percentage in all groups. Particularly medical personnel group were remarkably high in telling the truth. 2. Attitudes of medical personnels 43.3% of all groups agreed upon medical personnels prefer to avoid dying patient. In medical personnel group. 44% of respondents disagreed comparably higher than other group, But 37.3% of medical personnel agreed. It showed that medical personnels admitted their negative feelings toward dying patient in considerable degree. 3. Attitudes toward mechanical assistance for life-expanding or hopeless patient. 44.8% of all groups disagreed upon mechanical assistance for hopeless case. Elderly (54.9%) and medical personnels (50%) disagreed, which is higher than cancer patient (33.3%) and (22.8%) of cancer patient's family. 4. Special facility and educational preparation for dying patient. 67.4% of all groups agreed upon the needs of special facility for dying, 81.3% of medical personnels agreed which is highest percentage in all group. 5. Attitudes of family members of dying patient. 82.3% of all groups agreed upon the family members feel annoyed at dying patient. 34% of cancer patient's family member and 48% of cancer patients group agreed, but elderly group showed highest percentage (84%). 6. Perception of dying patient about imminent death. 58.3% of all group thought dying patients are aware of their impending death even though they had not been told. 77.3% of medical personnel agreed which is highest percentage in all group.

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Effects of Death Preparation Education on Awareness of Hospice Palliative Care and Withdrawing Life Sustaining Treatment in City Dwellers
Pei-Ling Tsung, Yoon Joo Lee, Su Yeon Kim, Seul Ki Kim, Si Ae Kim, Hyeon Ji Kim, Yi Nam, Suk Young Ham, Kyung Ah Kang
The Korean Journal of Hospice and Palliative Care.2015; 18(3): 227. CrossRef

Effect of the Early Traumatic Experience on the Mental Health of the Elderly.: Kwang Hun Lee, Jung Hoon Lee, Jong Bum Lee, Byung Tak Park, Seung Douk Cheung; Yeungnam Univ J Med. 1990;7(2):67-77. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.67

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Abstract PDF: This study was intended to analyze the relation between the psychic traumatic experience and the psychological health of the aged. The authors carried out this study by means of the combined anxiety-depression scale (CADS) and the preadolescence traumatic experience scale (PTES) with 278 aged men and women residing in Taegu from September to October 1988. The results were as follows: 1. Based on the scores evaluated by CADS, the scores of the both groups showed that comparative group was accounted for 40.15±6.19, while the experimental group for 57.75±6.37, which showed significantly higher score in the experimental group (p<0.001). 2. The experimental group showed significantly higher early experience score than the comparative group in the dietary difficulty, alcoholism among family members, disunion between husband and wife, trouble between mother and children, early mother loss, parent's indifference and unwanted birth (p<0.001). 3. The experimental group showed higher early experience score than the comparative group by sex, age, marital status and grown location (p<0.001). 4. When the subjects were included in the unemployed and in the middle or low classes and their parents were engaged in agriculture and commercial business and believing in buddhism or no-religion, showed higher experience score (p<0.001).

A Study of Depression Observed Among The Eledrly Residing in Home For The Aged In Korea.: Byung Tak Park, Jong Bum Lee, Jung Hoon Lee, Seung Douk Cheung; Yeungnam Univ J Med. 1990;7(2):79-87. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.79

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Abstract PDF: Using Zung's self-rating depression scale, the authors studied depression in 310 elderlies residing in the 9 home for the aged (HFA) in Kyungbuk area, and 234 elderlies living in Taegu city and 107 elderlies attending a Life-long education program in Taegu, which serve as a control group, Community resident elderlies (CRE). The research had been administered during the period from June to August, 1986. The results were as follows: 1. The mean scores of male, female, and the total of the elderlies in HFA were 38.95±11.55, 44.18±14.15, and 42.8±13.7 respectively while CRE marked 40.8±11.3 for male, 45.2±12.0 for female, and 43.4±11.9 for the total. Therefore there were significant differences between male and female in both groups (<0.01, p<0.001), though no significant difference between the two groups. However, the depression score of elderlies in HFA might be much higher than that of CRE if 81 elderlies (14.2%) in HFA who had been left out of the statistical evaluation due to their having severe depression, organic brain syndrome, or pseudoementia, etc had been included. 2. The score distribution by items for the elderlies in HFA were from highest scores hopelessness, worthlessness, emptiness, decreased appetite, confusion, while for CRE, hopelessness, decreased appetite, psychomotor retardation, indecisiveness, and worthlessness, Elderlies in HFA showed significantly high scores in depressed mood, weight loss, suicidal rumination (ideation) and psychomotor excitement, while CRE showed significantly high scores in decreased appetite, psychomotor retardation, indecisiveness, and dissatisfaction. 3. Elderlies who scored over 50 numbered 10 males (16%), 57 females (34%), and total of 67 (29%) in HFA and 28 male (21%), 77 females (37%), and total of 105 (31%) in CRE: female showed higher seores in both groups. 4. Psychococial factors such as getting older (respectively p<0.01, p<0.01), being Buddhist (respectively p<0.01, p<0.01), and monthly pocket money less than ₩30,000 (respectively p<0.001, p<0.001) were found to have a noticeable impact on the depression level of the elderlies in both groups. Factors such as illiteracy (p<0.001), monthly pocket money less than ₩10,000 (p<0.05), and having no family (p<0.01) recorded significantly higher scores among CRE than the elderlies in HFA.

A Study on Discriminant Function of KWIS Subscales in Schizophrenic Patients.: Jung Hoon Lee; Yeungnam Univ J Med. 1990;7(2):89-96. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.89

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Abstract PDF: The purpose of this article was to determine the discriminant function analysis of the Korean Wechsler Intelligence Scale (KWIS) for 110 normal controls and 98 schizophrenics. Of special interest was to verify the clinical discriminant power of two subtests of the KWIS (Vocabulary and Digit Symbols) and Zung's Self-rating Anxiety Scale (SAS). Four major hypotheses were postulated. The normal control group would show higher scores then the schizophrenics; mean scores on both Vocabulary and Digit Symbol. The mean difference in Digit Symbol between the two groups would be greater than that in the Vocabulary. There would be no significant relation among Digit Symbol, Vocabulary, and Anxiety. The most powerful discriminant power would be expected from subtest of Digit Symbol. The mean discriminant scores were 1.34425 for the control subjects, 1.34425 for the schizophrenics. The correctly discriminated percentage was 89.1% for the control subjects, 90.8% for the schizophrenics. From the findings it was concluded that both Digit Symbol and Vocabulary scales had strong diagnostic value but the former was more powerful than the latter. However, the Anxiety scales had less diagnostic value.

Clinical Experiences of the Ureteroscopic Management for the Lower Ureteral Stone.: Seong Jong Mo, Young Soo Kim, Jun Kyu Suh, Tong Choon Park; Yeungnam Univ J Med. 1990;7(2):97-102. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.97

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Abstract PDF

Ureteroscopic removal of the stone is now popular for the management of the lower ureteral stone. A clinical study was performed on our 75 patients with lower ureteral stone treated with ureteroscopy. Of the 75 stone manipulations 62 (83%) were immediately successful and the final success rate including spontaneous delivery of stone or fragment after the procedure was 87 percents (65 cases). Of 57 smaller calculi than 1 cm (radiographic largest diameter) 50 (88%) were removed successfully. Mean duration of postoperative hospitalization was 5.6 days. There were no interrelations between the success rate and anesthetic methods. Significant complications during or after procedure were not identified. We conclude that ureteroscopic removal of stones under direct vision can be done safely and be the first choice of procedure for the lower ureteral stones.

Citations

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A Clinical Case Report of Severe Hematuria Patient after Ureterolith Lithotripsy
Sang Hyun Lee, Ju Yong Jeong, Myoung Rae Cho
Korean Journal of Acupuncture.2015; 32(3): 144. CrossRef

Fundamental Study for Rolling-Over Motion of the Body by Functional Electrical Stimulation (FES).: Joon Ha Lee, N Hoshimiya; Yeungnam Univ J Med. 1990;7(2):103-108. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.103

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Abstract PDF: A method to roll-over the paralyzed body by means of Functional Electrical Stimulation (FES) is considered. It is demonstrated that individual joint motions necessary for the rolling-over are realized by electrical stimulation. EMG measurements are also performed to analyze the cooperative activities of the muscles during rolling-over motion in a case where an upper extremity was used. These results of two experiments using normal subjects verifies the fundamental feasibility of body control by FES.

Radiation Therapy of Head and Neck Cancer with CO-6O HDR Transcatheteric Irradiation.: Sei One Shin, Sung Kyu Kim, Myung Se Kim; Yeungnam Univ J Med. 1990;7(2):109-114. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.109

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Abstract PDF: The basic strategy of irradiation is to deliver a dose to the cancer that is high enough to make cancer cells incapable of reproduction, while keeping the doses to the various healthy tissues below tolerable levels. In order to improve local control and survival, as a boost therapy after external radiotherapy, high dose rate transcatheteric irradiation using remote control after loading system (RALSTRON-20B) was used for twelve patients with head and neck cancers. Present results showed complete remission of cancer in 9 out of 112 patients without treatment related complications. Although this procedure is easy to operate, well trained skillful hand in essential for good results. Furthermore out experience suggested that meticulous treatment planning should be developed for better results.

A Study on the dosimetry in boundary of shielding block in high energy irradiation.: Myung Se Kim, Sung Kyu Kim, Sei One Shin; Yeungnam Univ J Med. 1990;7(2):115-120. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.115

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Abstract PDF: Scatter-air ratios are used for the purpose of calculating scattered dose in the medium. The computation of the primary and the scattered dose separately is particularly useful in the dosimetry of irregular fields with shielding block in radiation field, dose distribution of scattered radiation using 18MeV Linear accelerator and Co-60 teletherapy measured. The effect of scattered radiation dose by protecting block was been ignored in radiation therapy, 2-3% of scattered radiation may be 90-200cGy which could be influence vital complication such as cataract, oligospermia or sterility. So that exact calculate scattered radiation by protecting block exactly for irregular field c small protection of vital organ is very important. The purpose of this article is to calculate scattered radiation by protecting block exactly for irregular field c Linac or Co-60 irradiation and to applicate these data in clinical radiation field. Authors could obtain following results. 1. The lesser angle between shielding block showed more scattered radiation. 2. With decreasing distance between shielding blocks, the dependent of scattered radiation were increased. 3. Output of 18 MeV Linear accelerator and Co-60 was related linear proportion on field size, but independent according to the size of shielding block in 18 MeV Linear accelerator.

Spinal Anesthesia for Lower Extremities : Comparison of Plain 0.5% Bupivacaine and Hyperbaric 0.5% Tetracaine.: Sun Ok Song, Bon Up Koo; Yeungnam Univ J Med. 1990;7(2):121-130. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.121

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Abstract PDF: Plain 0.5% bupivacaine and hyperbaric 0.5% tetracaine were compared for spinal anesthesia in 40 patients undergoing operation of lower extremities. Lumbar puncture was performed with a 22 gauge spinal needle with the patient in the lateral recumbent position. The third lumbar interspace was chosen for the puncture, when a free flow of clear CSF was obtained, the local anesthetic solution (2.5 ml of 0.5% bupivacaine or 2.0 ml of hyperbaric 0.5% tetracaine) was injected at a rate of 0.1ml/sec without barbotage. After injection of anesthetics, clinical features were observed and compared between the two groups. The results were as follows: 1. The two groups were well matched for age, sex, height and weight. 2. In both groups, sensory block to T₁₂ dermatome was obtained within 4 minutes, mean maximal level of analgesia was T₆₋₇, and the mean time for maximal level was around 20 minutes. 3. The onset times of motor block were similar in both groups and complete motor block was obtained in all cases within 20 minutes. 4. The duration of analgesia above the T₁₂ dermatome was 3 hours, postoperative analgesia was 7 hours. These value were significantly prolonged than those of the tetracaine group (p<0.05). 5. The changes in systolic pressure in the bupivacaine group were significantly less than those of the tetracaine group (p<0.05). 6. The complications after spinal anesthesia were headache, numbness, urinary retention and backpain, and were no significant difference in both groups. From the obtained results, we concluded that plain 0.5% bupivacaine was a relatively satisfactory agent for spinal anesthesia for operation of lower extremities. The time of onset, height of block and the complications of postoperative period were similar in both groups. The advantages of plain 0.5% bupivacaine were less hypotension and long duration of analgesia.

Roentgenographic Cephalometric Study for Normal Occlusion in Korean Adults According to the Ricketts Analysis.: Byung Rho Chin; Yeungnam Univ J Med. 1990;7(2):131-139. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.131

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Abstract PDF: The purpose of this study was to assess the skeletal characteristics of the maxillofacial norms and the interpretation of craniofacial relations in Korean adults by applying the Ricketts Analysis. The factors of the applied lateral cephalometric measurements were composed of the 10 factor analysis (Summary Analysis) and 7 internal structures to be suggested by Ricketts. Lateral cephalograms were obtained from 60 subjects over 21 years old that consisted of 30 males and 30 females with normal occlusion, acceptable profile. The results were as follow: 1. The tables of means, standard deviations in each item and sex were made. 2. The author performed whether there was significance (P<0.05) between the registered male and female's measurement in each item.

Clinical Observations of the Solitary Pulmonary Nodules.: Jin Woo Roh, Byeong Ik Jang, Jong Sun Park, Jin Hong Chung, Hyung Woo Lee, Kwan Ho Lee, Hyun Woo Lee, Jung Cheul Lee, Sung Sae Han; Yeungnam Univ J Med. 1990;7(2):141-149. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.141

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Abstract PDF: The authors conducted a clinical observation of 55 cases of solitary pulmonary nodules at Yeungnam University Hospital from June 1986 to October 1990, and the following results were obtained: 1. The age distribution was ranged from 18 to 77 years, and the male-to female ratio was 1.8:1. 2. Among 55 cases of nodules, 28 cases were benign and 27 cases were malignant nodules, and of malignant nodules, the primary lung cancer was 23 cases and of benign nodules, 18 cases were tuberculoma. 3. 23 cases (41.8%) was asymptomatic and the other 32 cases were symptomatic; chest pain 12 cases, hemoptysis; 8 cases, cough; 8 cases and dyspnea; 4 cases. 4. The non-smoker-to-smoker ratio was 1:1.04, but among 23 smoker over 20 pack years, 14 cases were malignant nodules. 5. According to nodular size, there is no striking differences between benign and malignant nodules except 3-4 cm sized nodules. 6. The lobar distribution of nodules, 35 cases were in the right lung (upper lobe; 14 cases, middle lobe; 11 cases, and lower lobe; 10 cases) and 23 cases were in the left lung (upper lobe; 9 cases, lower lobe; 11 cases), and the malignant nodules were most commonly observed in the right upper lung.

The Clinical Review of Superior Vena Cava Syndrome.: Joung Sun Kang, Sam Beom Lee, Choong Ki Lee, Jin Hong Chung, Hyoung Woo Lee, Kwan Ho Lee, Myung Soo Hyun, Hyun Woo Lee, Sei One Shin, Myung Se Kim; Yeungnam Univ J Med. 1990;7(2):151-158. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.151

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Abstract PDF: We reviewed 30 cases of superior vena cava syndrome in adult patients who were seen at the Yeungnam University Hospital from January 1985 to June 1990. The results were as follows: 1. The male-to-female ratio was 6.5:1, and the most patients were in the age group between the sixth and seventh decades. 2. The most common symptoms were dyspnea (87%) and followed by cough (63%), facial swelling (63%) and chest pain (44%) and the physical signs were dilated neck vein (97%), facial edema (93%) and facial flushing (45%) in order of frequency. 3. The simple chest x-ray findings were superior mediastinal widening (90%), right hilar mass (77%) and pleural effusion (31%). 4. Diagnosis was made by history and physical examination (100%), chest C-T scan (100%), simple chest x-ray (97%), bronchoscopy with biopsy (40%) and so on. 5. 21 cases of patients were confirmed by histology: 14 cases (46%) of bronchogenic ca, 4 cases (14%) of lymphoma, 3 cases (10%) of metastatic lung ca. Of bronchogenic ca, small cell ca was 7 cases (23%), squamous cell ca, 5 cases (17%), and unclassified cawas 2 cases (6%). 6. In response of treatment, the clinical improvement was achieved in 18 cases with radiotherapy alone, 1 case with chemotherapy only, and 6 cases with radio-chemotherapy.

Significance of Low Serum Urea Nitrogen Concentrations.: Chung Sook Kim, Kyung Dong Kim, Dae Chul Kim; Yeungnam Univ J Med. 1990;7(2):159-165. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.159

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Abstract PDF: The prevalence of low serum urea nitrogen concentrations (<6 mg/dL) in our patient population was 3.8% (452 per 11,911 determinations), representing 372 individual cases. Of these, 323 of the patients' charts were located, reviewed, and classified into disease groups. Malignant tumor was found in 25.1% of the 323 patients, the remaining patients without malignant tumor had various clinical conditions; pregnancy (19.5%), infectious diseases (12.1%), trauma (10.2%), cerebrovascular accident (6.2%), hepatopathy (5.3%), and miscellaneous conditions (21.6%). The prevalence in female and young aged patients under 5 years was considered due to the lower reference range in these groups than in that of female adult groups, and moreover pregnancy in another superimposing factor in the former group. In regards to the causes of this condition, our study corresponded well to the textbook cited etiology of the low serum nitrogen concentration, although malnutrition and hepatopathy were inverted in their incidental order. We postulated, through the present study, that the low serum urea nitrogen concentration is not pathognomonic findings to suggest specific disease or conditions, but rather to reflect patient's general conditions such as hydration, nutrition, or administration of certain drugs.

Case Reports

Astrocytoma in the Bilateral Thalamus: A Case Report.: Eul Soo Chung, Jang Ho Bae, Dong Ro Han, Eun Sik Doh, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi, Soo Ho Cho; Yeungnam Univ J Med. 1990;7(2):167-172. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.167

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Abstract PDF: Astrocytoma in the thalamus in not so frequent in incidence (1%). Moreover, bilateral thalamic tumor is rare. Certain tumors of the thalamus are considered resectable but most of thalamic tumors are thought to be untouchable. Bilateral thalamic astrocytoma with hydrocephalus was diagnosed by stereotactic biopsy and ventriculoperitoneal shunt operation was done with result of improvement. We report a case of astrocytoma in the bilateral thalamus with literature review.

Nonsurgical Management of Parasagittal Epidural Hematoma Report of 4 Cases.: Dong Soo Nam, Seong Ho Kim, Bum Dae Kim, Jang Ho Bae, Eun Sig Doh, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi, Soo Ho Cho, Jow Hyuk Ihm; Yeungnam Univ J Med. 1990;7(2):173-179. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.173

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Abstract PDF: Nonsurgical management of four cases of the parasagittal epidural hematoma were experienced. Patients were mildly symptomatic or minimal neurological disturbances on admission. Patients were treated conservatively because of stable neurologic sign. All patients had who diastatic fracture and / or suture have become a complete neurological recovery with satisfactory absorption of EDH over a period of 5 to 12 weeks.

Congenital Left Ventricular Diverticulum.: Jong Young Kim, Jung Ho Kim, Jin Gon Jun; Yeungnam Univ J Med. 1990;7(2):181-187. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.181

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Abstract PDF: Congenital diverticulosis of the left ventricle is an extremely are rare maldevelopment. We report a 9 year old girl with probable isolated left ventricular diverticulum in whom the diagnosis was made by cross sectional echocardiography and by angiography.

Three Cases of Unusual patterns of Pyogenic Spondylitis.: Myun Whan Ahn, Dae Jin Suh, Jong Chul Ahn, Joo Chul Ihn; Yeungnam Univ J Med. 1990;7(2):189-195. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.189

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Abstract PDF: Pyogenic vertebral osteomyelitis is rare. It most commonly occurs at the lumbar area and in the fifth to seventh decades of life. Most individuals present with back pain, abdominal pain, hip pain and meningeal syndrome. We experienced three cases of unusual patterns of pyogenic osteomyelitis. The first case developed after sepsis. The second case developed after open fracture and infection of other site. The third case was misdiagnosed as metastatic cancer. We present these cases with a brief review of literatures.

A Case of Type II Mirizzi Syndrome.: Hong Jin Kim, Joo Hyeong Lee, Myeong Jun Shin, Koing Bo Kwun, Jae Chun Chang, Moon Kwan Chung; Yeungnam Univ J Med. 1990;7(2):197-202. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.197

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Abstract PDF: Mechanical obstruction of the common hepatic duct includes the following causes; choledocholithiasis, sclerosis, cholangitis, pancreatic carcinoma, cholangiocarcinoma, postoperative stricture, primary hepatic duct carcinoma, enlarged cystic duct lymph nodes, and metastatic nodal involvement of the porta hepatis. Partial mechanical obstruction of the common hepatic duct caused by impaction of stones and inflammation surrounding the vicinity of the neck of the gallbladder had been reported on the “syndrome del conducto hepatico” in 1948 by Mirizzi. Nowadays, this disease was named by Mirizzi syndrome. Mrizzi syndrome is a rare entity of common hepatic duct obstruction that results from an inflammatory response secondary to a gallstone impacted in the cystic duct or neck of the gallbladder. It results from an almost parallel course and low insertion of the cystic duct into the common hepatic duct. In a variant of Mirizzi's syndrome, the cause of the common hepatic duct obstruction was a primary cystic duct carcinoma rather than gallstone disease. A 71-year-old man was admitted with a four-day history of right upper quadrant abdominal pain. Past medical history was unremarkable. On physical examination, the patient had a temperature of 38℃, icteric sclera and right upper quadrant tenderness. Pertinent laboratory findings included WBC 18,000/cm3; albumin 2.6 g/dl (normal 0-1) with the direct bilirubin, 4.4 mg/dl (normal 0-0.4). Ultrasonography revealed a dilated extrahepatic biliary tree. ERCP showed that the superior margin was angular and more consistent with a calculus causing partial CHD obstruction (Mirizzi syndrome). At surgery a diseased gallbladder containing calculi was found. In addition, there was two calculi partially eroding through the proximal portion of the cystic duct and compressing the common hepatic duct. A cholecystectomy and excision of common bile duct was performed, with Roux-en-Y hepaticojejunostomy. The postoperative course was uneventful.

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