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Intestinal parasite infections in the inhabitants along the Hantan River, Chorwon-gun
Myung-Sung Park(박명성),Sun-Woong Kim(김선웅),Yong-Sang Yang(양용상),Chan-Hum Park(박찬흠),Won-Tae Lee(이원태),Chang-Uck Kim(김창억),Eun-Mi Lee(이은미),Soo-Ung Lee(이수응),Sun Huh(허선) 대한기생충학열대의학회 1993 The Korean Journal of Parasitology Vol.31 No.4
흉추부 황색인대 골화증 : 환자 16예의 임상적 분석 A Clinical Analysis of 16 Cases
현명훈,김남규,백광흠,신형식,김재민,고용,오성훈,오석전,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.8
The authors are reporting 16 cases of ossification of the thoracic ligamentum flavum. Thoracic ossified ligamentum flavum cause myelopathy as a result of pressure on the spinal cord and nerve roots The prominent sysmptoms were numbness of the foot or leg motor weakness sphincter disturbance and exaggerated tendon reflexes The male to female ratio was 13:8 and the 5th decade was the most prevalent age group. The predominant regions involved were T9-T10 and T10-T11 Total laminectomy was performed in all patients and the prognosis was good in most cases. The thoracic ossified ligamentum flavum and neurologic disorders due to compression of the thoracic vertebrae by other diseases do not show much of a difference in terms of symptoms In the past due to the lack of knowledge of this disease treatment was performed inapproapriately However at the present with the improvement of CT and MRI and the increased recognition of this disease we believe that good prognosis can be made if appropriate treatment is delivered at the time of diagnosis
백광흠,신형식,김재민,오성훈,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.2
A technique combining usual interlaminar approach and paraspinal intertransverse approach for exposing far-lateral disc herniations without disrupting the facet is described. This approach is useful because disc fragments can be removed from both intraspinal and paraspinal route with easy retraction and under short skin incision. This approach prevents reherniation by complete removing of residual nucleus pulposus. At the end of procedure the foramen can be explored in order to verify that foramen is opened. This approach is useful especially in operating the double herniations and extruded far lateral disc herniations.
수정체적출술과 편도절제술에 대한 통원수술과 입원수술의 진료비 및 만족도 비교
서재명 ( Jae Myung Seo ),유승흠 ( Seoung Hum Yu ) 한국병원경영학회 1999 병원경영학회지 Vol.4 No.2
Objectives : This study was done to compare patient satisfaction and hospital charges of surgery performed in an outpatient basis(ambulatory surgical procedures). Methods : This retrospective study was performed in 20 (vitrectomy 11, tonsillectomy 9) randomly selected ambulatory surgical procedures patients and 50 (vitrectomy 26, tosillectomy 24) inpatients who received the same procedure at a general hospital in Seoul since January 1, 1998 to October 31, 1998. The operative procedures were vitrectomy and tosilletomy which could be performed on a ambulatory surgical procedures basis or on an inpatient basis. Results : The results of this study shows that the patients thought the expenses and the surgical operative time was an important factor in a ambulatory surgical procedures but there were no differences in the patient satisfaction by the method of surgery. The charges of vitrectomy and tonsilletomy were reduced up to 495,000 won and 380,000 won from 1,589,000 won 842,000 won inpatient surgery respectively. Conclusions : This study focused only on the charges of the surgical procedures and did not include the cost of patient helper, the lost salary due to missing days of work to care for a member of the family, transportation costs, and other indirect costs. Therefore, if those fees were included, ambulatory surgical procedures would be more economical. Therefore, by giving incentives at the fee schedule, the government health policies it would reduce the total hospital charges.
추궁절제수술후에 발생한 의인성 가성수막척수류 : 증례보고 Report of Cases
백광흠,김용석,김재민,고용,오성훈,오석전,김남규,김광명,박동우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10
Two unique cases of delayed nerve root herniation and entrapment into the pseudomeningocele through an unrepaired dural laceration at lumbar laminectomy were reported. Both patients presented with recurred radiculopathy. 3 and 6 years after first operation respectively. Lumbar myelography showed an extradural pseudomeningocele pouch in case 1 while showing no abnormality in case 2. Lumbar MRI in case 1 showed tangled herniated nerve root in the pouch of pseudomeningocele. Lumbar myelographic CT of case 2 showed delayed partial filling of the pseudomeningocele pouch only.
백광흠,오석전,김광명,김남규,정환영 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.4
The author analysed 140 cases of subdural hygroma developed after head injury and various neurosurgical operations and was treated at Hanyang university hospital form 1983 to 1989. The results were analysed and summarized as follows. 1) The peak incidence was the age over 50 and under 10. 2) 104 cases (74.4%) were bilateral frontotemporoparietal lesions. 3) Causes were head injury (121 cases), operation for intracranial aneurysms (5 cases), ventriculoperitoneal shunt (5 cases), traumatic intracranial hematoma removal (4 cases), transcallosal tumor removal (2 cases), meningitis (2 cases), external ventricular drainage (1 cases). 4) Change in mental status without focal sign of brain damage was presenting symptom. 5) Operation was underwent if 63 cases and the reaccumulation rate was high (26.8%) after traphination but outcome was favourable. 6) Mortal rate in traumatic subdural hygroma was low (5.8%) because brain CT could detect subdural hygroma easily in early stage.