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"Tae Hyung Kim"

Original Articles
[English]
Clinical Review of Gastric Cancer
Tae Hyung Kim, Yong Man Choi
Ihwa Ŭidae chi 1993;16(3):263-268.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1993.16.3.263

A clinical study was carried out on 227 cases of gastric cancer managed at Department of General Surgery of EWHA Woman's University Hospital, from January 1986 to December 1992.

The results were as follows :

1) The age were 27 years to 92 years, and the most freguent age group was 6th decade.

2) The sex ratio of male to female was 1.8:1.

3) The duration of symptom were less than 6 months in 62.5% and more than 6 months in 37.5%.

4) The most common subjective symptoms were epigastric pain & discomfort(79.2%), indigestion(33%), weight loss(13.2%) and nausea & vomiting(11.8%) respectively.

5) The proportion of blood group A among all cases was 37% which was slight higher than that of general population 32.6%.

6) Epigastric tenderness was most common physical finding(44.9%), but 14.5% of all cases had no physical findings.

7) The most common lesion location were antrum & pylorus in 69%, body and fundus were 27% and 4% respectively.

8) 99.6% of all acse were adenocarcinoma.

9) Early gastric cancer were found in 21.1% of cases.

10) The operability was 92.5%, and resectability was 85.9%.

11) Postoperative morbidity was 18%, Wound infection and enterocutaneous fistula were most common complications.

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[English]
Differences in Bacterial Species and Their Resistance Rates based on Sputum Cultures between Tertiary Hospitals and Smaller Medical Institutions
Tae Hyung Kim, Kyung Pyo Cho, Jae Sung Lee, Yong Moon Woo, Ji Seok Seong, Chang Suk Noh
Ewha Med J 2013;36(2):126-131.   Published online September 26, 2013
DOI: https://doi.org/10.12771/emj.2013.36.2.126
Objectives

Since the 1990s, drug-resistant bacteria have become common pathogens of hospital-acquired infections. In recent years, healthcare-associated infections have come to the fore, and it is reported that distribution rates of these bacteria are comparable to those of hospital-acquired infections. However, there have been few studies on differences in resistant bacteria depending on the size of hospitals. Thus, the authors studied differences in drug-resistant bacteria between a tertiary hospital and smaller medical institutions.

Methods

We retrospectively analyzed the clinical findings and sputum culture results of patients transferred from tertiary hospitals (group A, n=74) and those transferred from smaller medical institutions (group B, n=65).

Results

The number of patients with malignancy was higher in group A than in group B. The length of intensive care unit stay was longer in group A than in group B. Antibiotic therapy and mechanical ventilation were more frequently used in group A than in group B. There were no significant differences between the 2 groups in bacterial species (Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa) and their resistance rates to carbapenem, while there were significant differences between the 2 groups in the bacterial species (Acinetobacter baumannii) and its resistance rate to carbapenem.

Conclusion

In this study, there were significant differences between the 2 groups in the bacterial species and resistance rates to carbapenem for A. baumannii infection unlike other bacterial infections. Further studies on risk factors and patient classification are needed to confirm our results.

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