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신정옥,심일구,이항재,김희범 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.1
Objective : Our purpose of this study was to evaluated the incidence of twin pregnancy with one fetal demise, predisposing factors and the maternal complications and perinatal outcomes. Patients : From January 1993 to December 1997, 5 twin pregnancy with single fetal demise after 28 weeks gestation by gestational age were observed in Soonchunhyang Kumi Hospital. Results : 1. The incidence of one fetal demise was 3.01% in twin pregnancy. 2. Maternal disseminated intravascular coagulation has not been demonstrated. 3. The predisposing factors of twin pregnancy with single fetal demise are umbilical cord torsion (40%), congenital anomaly(20%) and unknown(40%). 4. According to chorionicity, it seems that the perinatal mortality rate of monochorionic group was higher than dichorionic. Conclusion : This study suggests that monochorionic placentation is associated with increased risks of twin pregnancy with single fetal demise. But it may be partially explained due to small numbers of cases in this study.
Anesthesia-Related Neurally Mediated Syncope in the Perioperative Period: Two Case Reports
Jae Hang Shim,Hyung Joon Park,Chang Wook Lee,Seong Ho Park,Yoon Hyuk Hwang,Woo Jong Shin,Woo Jae Jeon 순천향대학교 순천향의학연구소 2016 Journal of Soonchunhyang Medical Science Vol.26 No.1
The following report describes the occurrence of severe hypotension and bradycardia in a healthy 50-year-old man following place- ment from supine to the beach chair position during general anesthesia for injured rotator cuff tendon repair, as well as the occur- rence of micturition syncope in a 71-year-old man following postobstructive diuresis after combined spinal–epidural anesthesia for total knee replacement. Rapid decompression of the urinary bladder is associated with severe hypotension, bradycardia, and syn- cope. Neurally mediated syncope includes true vasovagal and situational syncope that can occur in association with various situa- tions such as cough, micturition, postprandial state, and interscalene block. We report two cases of neurally mediated syncope (true vasovagal and situational) that occurred in different conditions and were controlled well with prompt and proper management without serious complications.
( Jae Yun Kim ),( Jae Hang Shim ),( Sung Jun Hong ),( Jong Yeun Yang ),( Hey Ran Choi ),( Yun Hee Lim ),( Ho Sik Moon ),( Jaemoon Lee ),( Jae Hun Kim ) 대한통증학회 2017 The Korean Journal of Pain Vol.30 No.2
Background: Spinal pain is most common symptom in pain clinic. In most cases, before the treatment of spinal pain, physician explains the patient`s disease and treatment. We investigated patient`s satisfaction and physician`s explanation related to treatments in spinal pain patients by questionnaires.Methods: Anonymous questionnaires about physician`s explanation and patient`s satisfaction in each treatment and post-treatment management were asked to individuals suffering from spinal pain. Patients who have spinal pain were participated in our survey of nationwide university hospitals in Korea. The relationships between patient`s satisfaction and other factors were analyzed.Results: Between June 2016 and August 2016, 1007 patients in 37 university hospitals completed the questionnaire. In the statistical analysis, patient`s satisfaction of treatment increased when pain severity was low or received sufficient preceding explanation about nerve block and medication (P < 0.01). Sufficient explanation increased patient`s necessity of a post-treatment management and patients` performance rate of post-treatment management (P < 0.01).Conclusions: These results show that sufficient explanation increased patients` satisfaction after nerve block and medication. Sufficient explanation also increased the practice of patients` post-treatment management. (Korean J Pain 2017; 30: 116-25)