Ultrasonographic localizations were performed by methylene blue injection in 35 cases of nonpalpable breast lesion. The lesions were sized 0.3cm-1.3cm and biopsied just after localization with 100% success rate. All the patients tolerated well the procedure and had not any complications. Ultrasonoguided dye injection is an accurate, comfortable and simple method for prebiopsy localization of nonpalpable breast lesion.
Breast* ; Humans ; Methylene Blue

The authors have studied on the effect of digital pressure on eyeball under the surface anesthesia instead of other reducing agents of intraocular pressure and retrobulbar anesthesia in order to lower the intraocular pressure as a preoperative procedure of cataract extraction in 26 eyeballs of 24 patients and following results were obtained: 1. The authors had intraocular pressure lowered till averaging 10.8 mmHg (average 13.5 ~ 8.0 mmHg) of original pressure by ocular massage. 2. Massage on eyeball was thought to be a satisfactory preoperative procedure to perform cataract extractIon. 3. In operative complications, loss of vitreous and rupture of capsule were noticed 11.5% and 60% respectively. and it was thought to be caused by technical failure in surgeons. In view of this fact we could not find that the loss of vitreous was caused by intraocular pressure below 13.5 mmHg.
Anesthesia ; Cataract Extraction* ; Cataract* ; Humans ; Intraocular Pressure ; Massage* ; Preoperative Care ; Reducing Agents ; Rupture

Since Bernstein(1973) initially described a case of fungal invasion of the soft contact lens, sporadic reports have appeared in the literature. A 51 yr old Korean man was seen in our clinic on July 22, 1981. His complaining is photophobia and foreign body sensation of the left eye. He has suffered from the above mentioned chief complaint for 2 days. His visual acuity was 20/20(Right eye) and 20/40(Leftr eye). There were multiple deposits on the soft contact lens. We referred deposits of the contact lens to Toray industries Inc.(Tokyo, Japan). Characteristic fungal colony and mycelium wsa found on the soft contact lens.
Contact Lenses, Hydrophilic* ; Foreign Bodies ; Fungi ; Mycelium ; Photophobia ; Sensation ; Visual Acuity

With the exception of patients with epilepsy, transient splenial lesion of the corpus callosum (SCC) has been rarely reported. We investigated two young men with temporary encephalopathy. One had a staphylococcal infection, the other had a viral infection. The brain MRI findings of these patients showed a transient focal lesion in the splenium of the corpus callosum. Transient splenial lesions of the corpus callosum might be a non-specific end point of a different disease process leading to cytotoxic edema or osmotic demyelination of the brain.
Brain ; Communicable Diseases* ; Corpus Callosum* ; Demyelinating Diseases ; Edema ; Epilepsy ; Humans ; Magnetic Resonance Imaging ; Male ; Staphylococcal Infections

A mucocele-like tumor(MLT) is a spectrum lesion of the breast, which is usually associated with atypical ductal hyperplasia and mucinous carcinoma. We report here a case of MLT, with micropapillary hyperplasia.
Adenocarcinoma, Mucinous ; Breast* ; Hyperplasia

PURPOSE: The purpose of this study was to evaluate the efficacy of a nerve-root injection for the alleviation of pain in osteoporotic vertebral fracture. MATERIALS AND METHODS: Eighteen patients with pain from osteoporotic vertebral fracture, without improvement after conservative treatment, were included in this study. The group consisted of sixteen women and two men, and had with a mean age of 71 years. Patients underwent a nerve-root injection with lidocane, bupivacane and depomedrol, and were allowed as many as three injections. The mean follow-up period was 13.5 months. RESULTS: The average pain scores at pre-injection, 1 month and 6 months after the injection and final follow-up were 85, 24.9, 14.1 and 17.4, respectively. According to the criteria used to assess clinical results, there was one excellent, thirteen good and four fair results. A newly developed compression fracture was noted in one patient. No complication was related to the injection. CONCLUSION: Our data show that nerve-root injections are effective at improving pain. This suggests that patients with pain from osteoporotic vertebral fractures should be considered for treatment with nerve-root injections prior to being considered for percutaneous vertebroplasty or operative intervention.
Female ; Follow-Up Studies ; Fractures, Compression ; Humans ; Male ; Spine ; Vertebroplasty

No abstract available.
Child* ; Fracture Fixation, Intramedullary* ; Humans

No abstract available.
Korea*

BACKGROUND: Hypertension is the major risk factor for cardiovascular disease. The increased left ventricular mass has been recognized as an independent predictor of morbidity and mortality in hypertensive patients. The assessment of the regression of left ventricular(LV) mass after antihypertensive therapy offers prognostic information. 2D echocardiography has proved a sensitive tool for the detection of the change of LV mass. METHOD: LV mass and LV mass index were measured by area-length method of 2D echocardiography in 26 hypertensive patients and 10 normal control to evaluate the effect of betablocker(group I, n=16) and angiotensin converting enzyme(ACE) inhibitor(group II, n=10) on the regression of LV mass. RESULT: There was a significant increase of LV mass and LV mass index in the hypertensive patients(199.0+/-37.7gm, 119.2+/-21.2gm/m2) compaired to the control(129.7+/-11.7gm, 87.4+/-8.8gm/m2)(p<0.01, p<0.01). After 13.1 week treatment, LV mass was significantly decreased in group I(200.9+/-35.3gm vs 164.7+/-25.4gm)(p<0.01) and group II(195.9+/-43.3gm vs 152.4+/-27.1gm)(p<0.01). The LV mass index was also significantly decreased in group I(120.3+/-20.7gm/m2 vs 98.8+/-15.5gm/m2)(p<0.01) and group II(117.5+/-22.9gm/m2 vs 91.5+/-13.6gm/m2)(p<0.01). CONCLUSION: This results showed that LV mass can be reduced in hypertensive patients who receive beta blocker and ACE inhibitor. The effect of antihypertensive therapy on LV mass should be considered in treatment of the hypertensive patients who had hypertrophied LV.
Angiotensins ; Cardiovascular Diseases ; Echocardiography ; Humans ; Hypertension ; Mortality ; Risk Factors

PURPOSE: Most of invasive Haemophilus influenzae diseases occur in children under 5 years of age, and are due almost exclusively to type b strain. Although antibodies to several surface antigens of H. influenzae play a role in conferring immunity, antibody to the type b capsular polysaccharide appeared to have the most important protective functions. However, the antibody response to vaccines or natural infections are quite differ according to the ages and ethnic groups. This study was performed to investigate the need of Hib vaccination and its appropriate time in Korean infants. METHODS: Three hundred and forty-five Korean infants and children who were relatively well without history of Hib vaccination or infection were enrolled in the study. All subjects did not receive blood transfusion or blood products and also had no any immunological abnormalities. Anti-PRP IgG was measured in the sera of subjects using ELISA. PRP-albumin was used as a coating antigen. RESULTS: Geometric mean titer (GMT) of anti-PRP IgG in the sera of neonates was 0.594 g/ml and was gradually decreased to 0.186 g/ml and 0.111 g/ml at 2 and 3 months of age, respectively. Ant-PRP IgG was significantly low after 3 months of age, and was gradually increased after 10 months of age. Anti-PRP IgG level p> or = 0.15 g/ml was observed in 70.8% (17/24) in neonatal group, 41.6% (10/24) and 18.7% (3/16) in 2 and 3 months of age. Only 8.7% (10/115) showed anti-Hib IgG levels of p> or = 1.0 g/ml, which has been considered as a level of longterm protection, was observed in 37.5% (9/24) in neonates, 12.5% (3/24) in 2 months of age and less then 10% thereafter. CONCLUSIONS: These results suggest that congenital passive immunity can be obtained enough in Korean infants and was rapidly decreased during the period of 3 months after birth. Hib vaccination will be recommended at early infancy (2 months of age) to provide appropriate antibodies in Korean children.
Antibodies ; Antibody Formation ; Antigens, Surface ; Blood Transfusion ; Child* ; Enzyme-Linked Immunosorbent Assay ; Ethnic Groups ; Haemophilus influenzae ; Haemophilus influenzae type b ; Humans ; Immunoglobulin G* ; Infant* ; Infant, Newborn ; Influenza, Human* ; Parturition* ; Vaccination ; Vaccines