No abstract available.
Laurence-Moon Syndrome*

No abstract available.
Laurence-Moon Syndrome*

No abstract available.
Paralysis* ; Radial Nerve*

OBJECTIVES: This study is aimed to evaluate the correlation between self-reported oral health and caries experience, and to find out factors that affect perceived oral health status and treatment need in Korean male soldiers aged 18 to 24. METHODS: The cross-sectional oral health examination and questionnaire survey about the attitude of oral health were conducted (n=2,436). The survey contained self-reported oral health status, self-reported dental treatment need and associated factors. RESULTS: Caries experience like DMFT, DT, FT, and MT indices were significantly different by selfreported oral health status, as well as the self-perceived dental treatment need (P<0.005). Experience rates of 'tooth pain', 'periodontal pain', 'tooth hypersensitiveness', 'gingival bleeding', 'tooth cavity', 'oral malodor', 'need prophylaxis', 'former dental treatment', 'smoking' and 'scaling' were different by selfreported oral health status and self-perceived dental treatment need (P<0.05). CONCLUSIONS: Subjective oral health perception reflected objective oral health status and other oral health related factors.
Aged ; Dental Caries ; Dental Health Surveys ; Humans ; Male ; Military Dentistry ; Military Personnel ; Oral Health ; Surveys and Questionnaires

No abstract available.
Dermoid Cyst*

Nontuberculous mycobacteria usually cause systemic disease and often appear as a primary pulmonary infection. However, a cutaneous lesion may be the first or only sign of infection. The most frequent human diseases caused by Mycobacterium fortuitum are cutaneous or soft tissue infections, usually preceded by injection, trauma or surgery. We report a case of a cutaneous lesion due to Mycobacterium(M.) fortuitum occuring in a 50-year-old man with a subcutaneous flat nodule on his left anterior tibia. He had received a small injury to his left shin in a swimming pool. The culture from the skin biopsy specimen on Lowenstein-Jensen medium yielded clolnies after 5 days. The microorganism was subsequently identified as M. fortuitum by selected biochemical reactions. Therapy was instituted with minocycline for 5 months.
Biopsy ; Humans ; Middle Aged ; Minocycline ; Mycobacterium fortuitum* ; Mycobacterium* ; Nontuberculous Mycobacteria ; Skin ; Soft Tissue Infections ; Swimming Pools ; Tibia

No abstract available.
Humerus*

BACKGROUND AND OBJECTIVES: It is difficult to correct anterior nasal septal dislocation and subluxation. This study reviewed our surgical technique for correcting septal dislocation and subluxation. SUBJECTS AND METHOD: This retrospective study reviewed the medical records of 20 patients who underwent septal reconstructive suturing of the cartilage to the premaxilla. Acoustic rhinometry, endoscopic pictures, visual analogue scale (VAS) scores, and patient satisfaction were evaluated. RESULTS: The results of acoustic rhinometry showed that there was significant (p<0.05) improvement in the minimum cross-sectional area on both sides of the nasal cavity. The nasal cavity volume was also increased bilaterally, although not significantly on the convex side (convex side, p=0.108; concave side, p=0.007). Thirteen patients had complete correction of the septal deformity on the endoscopic pictures and seven had incomplete correction. The VAS score for nasal obstruction was decreased significantly (p<0.05). Most patients (85%) felt satisfied with the surgery. Only one patient complained about a mild deformity of the external nose. No other major complications were encountered. CONCLUSION: The correction of caudal septal dislocation or subluxation with the excision of excessive septal cartilage and suturing the cartilage to the premaxilla are both successful methods for treating septal deformities.
Cartilage* ; Congenital Abnormalities ; Dislocations* ; Humans ; Medical Records ; Nasal Cavity ; Nasal Obstruction ; Nose ; Patient Satisfaction ; Retrospective Studies ; Rhinometry, Acoustic

PURPOSE: Snake venom induced coagulopathy is a major cause of both morbidity and mortality among affected patients. The effects of venomous factors to coagulation cascade and fibrinolysis were verified by analyzing the hematological data and clinical features of envenomed patients, and the efficacy of blood products transfusion and antivenin against a Korean snakebite clarified. METHODS: A retrospective study was conducted on 57 patients, admitted to the Department of Surgery of Chuncheon Sacred Hospital, between July 2002 and October 2005. According to the guidelines for assessing the severity of North American envenomination, the patients were divided into three groups according to severity, and the clinical course, DIC profile and usages of blood products and antivenin then analyzed. RESULTS: Of the 15 patients in the severe group (26.3%), 9 (60.0%) developed severe coagulation abnormalities, similar to DIC. No substantial bleeding or thrombic event manifested. All the patients with initial hypofibrinogenemia (33.3%) and unmeasured PT/aPTT during the 2nd to 4th hospital days (46.7%) progressed to severe coagulopathy. On average, these patients received transfusions of 18.4 +/- 6.1 pints of FFP and 14.4 +/- 14.9 pints of platelet product. The average amounts of antivenin applied were 1.2 +/- 0.4, 1.7 +/- 0.5 and 2.8 +/- 0.8 vials for the Minimal, Moderate and Severe groups, respectively. There was no death due to a Korean snakebite during this period. CONCLUSION: Korean snake venom is assumed to be a complex mixture of anticoagulant, platelet active and fibrinolytic venom. The discrepancy between abnormal coagulopathy and the clinical course explains venom induced DIC-like syndrome. Hypofibrinogenemia is the most reasonable predictor of DIC-like syndrome. Abrupt prolongation of PT/aPTT during the 2nd to 4th hospital days must weigh against thrombocytopenia. An early antivenin injection, along with the proper use of blood products, could improve the clinical course of envenomed patients.
Blood Platelets ; Dacarbazine ; Fibrinolysis ; Gangwon-do ; Hemorrhage ; Humans ; Mortality ; Retrospective Studies ; Snake Bites* ; Snake Venoms ; Thrombocytopenia ; Venoms

Cutaneous hypersensitivity reaction due to Rhus can develop against antigens delivered through the epidermis(allergic contact dermatitis: ACD) or through the blood vessels(systemic contact dermatitis: SCD). Although the role of Langerhans cells(LC) in sensitization and elicitation of ACD(external antigen) has been extensively investigated, there are few studies in cases of SCD(internal antigen). Immunohistochemical differences of Langerhans cells were investigated in cases of two different routes(external antigen vs. internal antigen) of the same antigens. The 7 cases of ACD due to Rhus and the 14 cases of SCD due to ingestion of Rhus were involved in this study. Immunohistochemical staining with anti-CD1a, S-100 protein, HLA-DR, factor XIIIa antibodies were performed. Numbers of CD1a, S-100 protein, and HLA-DR positive cells per linear millimeter of epidermis were counted. The ratio between HLA-DR positive cells and CD1a positive cells(HLA-DR/CD1a) was considered as a possible index of activation of LC. The number of factor XIIIa positive dermal dendritic cells(DDC) per mm2 was evaluated. CD1a positive LC were more significantly numerous in ACD than in SCD(19.6+/-1.95 vs. 9.0+/-0.91 p<0.05). Also, HLA-DR/CD1a in ACD were higher than SCD. Factor XIIIa positive DDC were more numerous in SCD than in ACD(21.6+/-1.57 vs. 16.9+/-2.48), but the differences were not significant statistically. Therefore, the epidermal LC appear to be involved in antigen presentation in ACD (external antigens) as to be well-known. On the other hand, it seems possible that DDC plays some role in immune reactions in SCD (internal antigens).
Antibodies ; Antigen Presentation ; Antigen-Presenting Cells* ; Dermatitis* ; Dermatitis, Allergic Contact ; Dermatitis, Contact ; Eating* ; Epidermis ; Factor XIIIa ; Hand ; HLA-DR Antigens ; Hypersensitivity ; Lacquer* ; Langerhans Cells ; Rhus ; S100 Proteins ; Skin* ; Trees*