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Biomedical subjects

C Park

Publications and source records attributed to C Park.

At least 253 records · Page 14Linked to original sources
PubMed1989

Reverse-flow postauricular arterial flap for auricular reconstruction.

Two patients with an ear defect, each reconstructed with a reverse-flow postauricular arterial flap are presented; one defect was caused by accidental exposure of bare cartilage at the posterior helix and the other by traumatic loss of earlobe. After the flaps were transposed, a line of auditory signals was dictated by Doppler probing, which suggested the presence of reverse blood flow in the flaps from the anteroauricular vessels. We believe that the reverse-flow postauricular arterial flap is a reliable and convenient optional tool in the reconstruction of auricular defects.

Adult↗
PubMed1989

Scintigraphic patterns of the reflex sympathetic dystrophy syndrome of the lower extremities.

Thirty-two patients with clinical signs and symptoms of the reflex sympathetic dystrophy syndrome (RSDS) of the lower extremities underwent Tc-99m MDP bone scintigraphy. Twenty-three patients had abnormal scan findings consistent with RSDS, while the scans of the remaining nine patients were normal. Of the 23 patients with abnormal scans, 19 demonstrated increased periarticular activity on early and delayed images, while 4 patients demonstrated decreased activity in the affected limb.

Adolescent↗
PubMed1989

The chondrocutaneous postauricular free flap.

Use of the auriculomastoid region as a donor-site for a microvascular free flap is still not the general consensus. This report presents three patients with composite tissue defects of the face aesthetically reconstructed with a chondrocutaneous postauricular free flap. For its safe surgical application, additional anatomic knowledge was refined with cadaver study. Use of the chondrocutaneous postauricular free flap has some merits. Its dissection is straightforward and safer than when only the cutaneous unit is used. It also offers a more dependable vascularized composite tissue as a one-stage operation. With freedom of design, a variable combined facial defect can be delicately reconstructed. The final aesthetic results obtained were gratifying, and the donor-site deformity was minimal.

Adolescent↗
PubMed1989

The effect of combined application of argon and Nd-YAG lasers on iridectomy in rabbits.

Recently iridectomy using an argon or Nd-YAG laser to treat narrow angle glaucoma has become popular, and is now the procedure of choice over the standard surgical technique. However, the shock wave of the Nd-YAG laser causes hemorrhage in almost all cases and the high energy level of the Nd-YAG laser, which is required for iridectomy, causes injury to the lens and cornea. Furthermore, there is a tendency toward closure of the iridectomy site after argon laser application. We performed iridectomies by a combined application of argon and Nd-YAG lasers in pigmented rabbits to improve iris bleeding, iridectomy patency, and lens and corneal damage. The iridectomy patency and the lens and corneal damage were examined with a scanning electron microscope. The rabbits that underwent laser iridectomies with only the Nd-YAG laser were used as a control group. Based on the results, it can be concluded that laser iridectomy by a combined application of argon and Nd-YAG lasers results in a lower rate of bleeding, a higher rate of patency, and less damage to the lens and cornea as compared with iridectomy performed by Nd-YAG laser only.

Animals↗
PubMed1989

Large mononuclear cells in seminoma--an immunohistochemical analysis of 21 cases.

Twenty-one cases of seminoma (including testicular seminoma, ovarian dysgerminoma and extragonadal germinoma) were reviewed for the cell types responsible for the production of alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG). Histologically the cases included seventeen classical seminomas and 4 anaplastic seminomas. The latter had some mononuclear and multinuclear giant cells. All 4 patients with anaplastic seminoma had elevated levels of serum AFP, and each of these cases contained AFP producing tumor cells identified by immunoperoxidase staining. All seminomas of patients with elevated serum levels of HCG were of the classical type but HCG producing tumor cells could not be identified by immunoperoxidase staining. Immunoreactivity to anti-AFP was found in some large mononuclear cells and anaplastic cells. To explain these results, we propose that the large mononuclear cell is a multipotential cell capable of differentiating into a germ cell, yolk sac and embryo, and that the anaplastic seminoma cells might represent a stage on the continuum of cellular differentiation from the large mononuclear cells to germ cells. The multinuclear giant cell does not appear to be essential for the production of either AFP or HCG in seminoma.

Adolescent↗
PubMed1989

Infantile myofibromatosis.

We report a case of infantile myofibromatosis in a male infant with involvement of the lungs and subcutaneous tissue. We studied our case by light microscopy, immunohistochemistry and electron microscopy. The results reveal that this entity is of a myofibroblastic nature. We reviewed 165 cases including our case. We believe this is the first report in Korea of infantile myofibromatosis with pulmonary involvement.

Humans↗
PubMed1989

Hamartoma of the urachal remnant.

A case of urachal hamartoma occurred in the urinary bladder of a 45-year-old woman, whose presenting symptoms were frequent urination and nocturia. Computed tomographic and contrast radiologic examinations demonstrated a broad-based 5-cm polypoid mass at the dome of the bladder. Grossly the polypoid mass was smooth surfaced and covered by innocent transitional epithelium. The mass and the underlying bladder wall consisted of multiple cystic cavities of various sizes and hyperplastic smooth-muscle bundles. Light microscopy identified numerous tubuloglandular structures, most of them lined by transitional cell epithelium. Simple or ciliated columnar cells and occasional mucous cells were also present, particularly in the epithelium of cystic cavities. Some tubules had communicated with the bladder lumen. Hamartoma of the urachal remnant should be included in the differential diagnosis of urachal and bladder tumors.

Female↗
PubMed1988

Inactivation of Acinetobacter calcoaceticus acetate kinase by diethylpyrocarbonate.

Acetate kinase purified from Acinetobacter calcoaceticus was inhibited by diethylpyrocarbonate with a second-order rate constant of 620 M-1.min-1 at pH 7.4 at 30 degrees C and showed a concomitant increase in absorbance at 240 nm due to the formation of N-carbethoxyhistidyl derivative. Activity could be restored by hydroxylamine and the pH curve of inactivation indicates the involvement of a residue with a pKa of 6.64. Complete inactivation of acetate kinase required the modification of seven residues per molecule of enzyme. Statistical analysis showed that among the seven modifiable residues, only one is essential for activity. 5,5'-dithiobis(2-nitrobenzoic acid), p-chloromercuryphenylsulfonate, N-ethylmaleimide and phenylglyoxal did not affect the enzyme activity. These results suggest that the inactivation is due to the modification of one histidine residue. The substrates, acetate and ATP, protected the enzyme against inactivation, indicating that the modified histidine residue is located at or near the active site.

4-Chloromercuribenzenesulfonate↗
PubMed1988

Pneumonia carcinomatosa from small cell undifferentiated carcinoma of the lung presenting as "reverse radiation pneumonitis".

We describe a patient with recurrent small cell undifferentiated lung carcinoma after chemotherapy and mediastinal radiation therapy who presented with peripheral pulmonary infiltrates on chest radiograph. At autopsy the patient was found to have carcinomatous pneumonia confined to the radiographically abnormal lung. The descriptive term "reverse radiation pneumonitis" is applied in view of the striking nonsegmental distribution of these pulmonary infiltrates, which occurred only outside the irradiated field. In this patient, radiation therapy successfully controlled disease in the treated lung parenchyma, thus accounting for this unusual radiologic and histologic picture. Pneumonia carcinomatosa, occurring after lung irradiation, can therefore be added to the differential diagnosis of radiographic peripheral pulmonary infiltrates.

Aged↗
PubMed1988

Home birth and hospital deliveries: a comparison of the perceived painfulness of parturition.

Cognitive assessments of the amount of pain associated with childbirth by parents electing either homebirth (n = 282) or hospital delivery (n = 191) were compared using Thurstone's univariate scaling method of paired comparisons. Subjects compared the pain of childbirth with 8 other painful events. The hospital birth group rated childbirth pain significantly higher than the homebirth group. In the homebirth group, females considered the pain to be less than the males, and in the hospital birth group, the females rated pain higher than the males.

Adult↗
PubMed1988

Fasciocutaneous V-Y advancement flap for repair of sacral defects.

Sacral defects from 6 to 11 cm in diameter were closed with bilateral fasciocutaneous V-Y advancement flaps. All the defects were easily closed without any postoperative complication. We believe that the V-Y advancement technique using the fasciocutaneous unit has some major advantages for repair of moderate-size sacral defects. It is a safe, simple, and less invasive procedure.

Adult↗
PubMed1988

Planar and SPECT Tc-99m red blood cell imaging in hepatic cavernous hemangiomas and other hepatic lesions.

The utility of Tc-99m RBC imaging in the diagnosis of hepatic cavernous hemangiomas has been established. Of the 25 patients with various focal hepatic lesions evaluated, 16 were diagnosed as having hemangiomas: eight proven by surgery, two proven by angiography, and six proven by maintaining a stable clinical course ranging from 6 to 12 months with normal follow-up liver function tests. Although fourteen of these were detected by planar imaging, two were detected by SPECT only. Two patients with large hemangiomas had false-negative scans, whereas the remaining seven patients had other liver lesions.

Adult↗
PubMed1988

A new arterial flap from the postauricular surface: its anatomic basis and clinical application.

We studied the arterial pattern of the postauricular surface in 16 cadavers and compared them to the results of Doppler probing in the auricles of 15 human volunteers. The dissections revealed that the postauricular surface is mainly supplied by three to five sizable branches from the upper, middle, and lower divisions of the posterior auricular artery, traversing in a rather straight and cephalic direction toward the auricular rim. One or more branches of the middle division are constantly present and distribute over the upper two-thirds of the postauricular surface. These anatomic findings were compatible with the results of the Doppler probing. We have done four auricular reconstructions with postauricular arterial flaps with excellent postoperative results. It is worthwhile to use the postauricular arterial flap in restoring the middle third of the auricle.

Adult↗