Bony changes about the elbow in the baseball players are common problem. Pure bony injuries occur in the elbow of the throwing arm, but most often they have some associated soft tissue counterpart. The importance to understand the elbow lesion in baseball players is that many of this lesion seem mild at onset and can often be easily managed, but permanent disability can result from the delayed or inadequate treatment. The authors have performed radiological study in 32 professional baseball players and obstained following result. 1. Among 32 baseball players we studied, twenty-four plsyers(75.0%) had 41 bony changes in the throwing elbow. 2. Forty one bony changes were classified into three groups by Slocum classificstion,;twenty nine medial tension overload injury, eleven extensor overload injury and one lateral compression injury. 3. Incidences of bony changes in each age group were 63.6#% in 20~24 years, 71.4% in 25~29 years and 100% in 30~35 years of age. 4. Incidences of bony changes in each csreer group were 63.6% in 10~14 years, 69.2% in 15~19 years and 100% in 20~25 years of career. 5. Incidences of bony changes in each position were 72.7% in the piteher and 76.2% in the fielder. 6. In conclusion, the best treatment is prevention, namely, exercise to increase the stren- gth, flexibility, and endurance of elbow musculature, which should be coupled with attention to proper mechanics of throwing. If an injury does take place, prompt treatment consisting rest, physical therapy and appropriate medicstion when indicated-should lead to a successful result in most cases.
Arm ; Baseball ; Elbow ; Humans ; Incidence ; Mechanics ; Pliability

The clinical study on recurrent dislocation of the shoulder was performed on fourteen cases who were treated by Putti-Platt operation from July 1967 to November 1968. The cases studied were treated at the 17th Army Hospital in Kwang-ju and U.S. 121st Evacuation Hospital in Bu-pyung. Ages in initial dislocation were varied from 11 to 25 with an average of 18 years. Five cases of them were recurred over ten times prior to operation. On radiological findings, Hill-Sachs lesion has been revelaed in 57.1%. On pathological finding, Bankart lesion was seen in 78.5% and detachment of the glenoid labrum with capsular separation in 28.6%. No recurrence has been encountered in this s ries, and average rarige of abduction was gained upto 165 and external rotation 30°.
Clinical Study ; Dislocations ; Gwangju ; Hospitals, Military ; Recurrence ; Shoulder

No abstract available.
Red-Cell Aplasia, Pure*

In our department we selected 52 patients in ASA Class I, aged from 20 to 60 years old undergoing operation of lower limbs and lower abdomen, lasting 1 to 2 hours of duration. They were divided into 2 groups, group A (30 patients) using 0.5% hyperbaric Tcaine 13 mg (2.6 ml), group B (22 patiens) using 0.25% hyperbaric bupivacaine 10 mg (4 ml), which were injected into intrathecal space. Sensory loss level was significantly higher in group A than in group B. The time taken for the block to reach maximum level was significantly faster in group B. Analgesic duration was significantly shorter in group B. In group B, onset of motor blockade was significantly slower and also, the total duration was significantly shorter. In group A, significant decrease of diastolic and systolic blood presssure were noted. Hyperbaric 0.25% bupivacaine can be used for short timed operation of lower limbs and lower abdomen without changes of cardiovascular system.
Abdomen ; Anesthesia, Spinal* ; Anesthetics ; Bupivacaine* ; Cardiovascular System ; Humans ; Lower Extremity ; Middle Aged

BACKGROUND: Automated blood cell analyzers often read leukemic blasts as normal cells. In this study, we evaluated the 5-part differential patterns of blasts using automated analyzers to determine if they can differentiate among blast types. METHODS: Blood samples containing 10% or more blasts were collected from patients with acute leukemia (N=175). The 5-part differential count was conducted using DxH 800 (Beckman Coulter, USA) and XE-2100 analyzers (Sysmex Co., Japan), and the results were compared with manual differential counts, which was used as a reference method. RESULTS: The DxH 800 reported the 5-part white blood cell differential count in 98.9% of the cases. The XE-2100 provided an invalid automated differential count in 72% of the cases. Both analyzers counted most lymphoblasts as lymphocytes and most myeloblasts as monocytes. In 11 cases, the DxH 800 reported a 5-part differential count without a blast flag. CONCLUSIONS: Some automated analyzers are able to recognize and count blasts according to their characteristic cell types. Therefore, complete blood counts obtained automatically can provide valuable data for making provisional decisions regarding the lineage of leukemia cells before further investigation.
Acute Disease ; Automation ; Blood Cell Count/*instrumentation/methods ; Humans ; Leukemia/blood/*diagnosis ; Leukemia, Monocytic, Acute/blood/diagnosis ; Leukemia, Myeloid, Acute/blood/diagnosis ; Leukemia, Promyelocytic, Acute/blood/diagnosis ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/blood/diagnosis

BACKGROUND: Home ventilation can decrease hospital-acquired infection, increase physical activity, improve nutritional status, enhance quality of life, and reduce medical costs. The number of patient using home ventilators has been increasing, particularly in Europe and United States. Although the number of patients with home ventilation has been increasing in Korea, the current status of these patients is not well known. This study was undertaken to obtain basic information upon these patients in additon to evaluating any problems related to patients' home care in our country. METHODS: A register of 92 patients with home ventilators in Seoul and Kyunggi province were obtained from commercial ventilator supply companies. The patients were contacted by phone and 29 of them accepted our visit. Information concerning education about home care before discharge, equipment cost, and problems related to home care were documented. The mode and preset variables of the home ventilator were checked; tidal volume (TV), peak airway pressure, and oxygen saturation were measured. RESULTS: There were 26 males (90%) and their mean age was 48.0(±20.1 years. The underlying diseases were: 21 neuromuscular disorders, 2 spinal cord injuries, 6 chronic lung diseases. Among the caregivers, spouses (n=14) predominated. Education for home care before discharge was performed primarily by intensive care unit nurses and the education for ventilator management by commercial companies. Twenty-five of the 29 patients had tracheostomies. Volume targeted type (VTT;n=20, 69%) was more frequently used than the pressure targeted type(PTT). Twenty-three of the 29 patients purchased a ventilator privately, which cost 7,450,000(±3,290,000) won for a PTT, and 14,280,000(±3,130,000) won for a VTT. Total cost for the equipment was 11,430,000(±634,000) won. The average cost required for home care per month was 1,120,000(±1,360,000) won. CONCLUSION: The commonest underlying disease of the patients was neuromuscular disease. The VTT ventilator was primarily used with tracheostomy. Patients and their families considered the financial difficulties associated with purchasing and maintaining equipment for home care an urgent problem. Some patients were aided by a visiting nurse, however most patients were neglected and left without professional medical supervision.
Caregivers ; Education ; Europe ; Gyeonggi-do* ; Home Care Services ; Humans ; Intensive Care Units ; Korea ; Lung Diseases ; Male ; Motor Activity ; Neuromuscular Diseases ; Nurses, Community Health ; Nutritional Status ; Organization and Administration ; Oxygen ; Quality of Life ; Seoul* ; Spinal Cord Injuries ; Spouses ; Tidal Volume ; Tracheostomy ; United States ; Ventilation ; Ventilators, Mechanical*

BACKGROUND: Rapid culture and identification of mycobacteria is important to effective treatment and management of patient. We made in-house biphasic media and designed identification system by multiplex PCR/PCR-RFLP. We tried to compare the report time of new system with that of conventional one. METHODS: A total of seven hundred and forty specimens sent for tuberculosis culture in a tertiary care hospital were inoculated into biphasic media which was composed of Ogawa media and Middlebrook 7H9 broth. When growth was detected, Mycobacterium tuberculosis and nontuberculous mycobacteria were identified by cord formation in AFB stain and multiplex PCR using IS6110 and hsp65 gene. Diagnostic algorithm for mycobacteria was established by PCR-RFLP with 13 species, 58 mycobacteria. We tried to identify 14 M. tuberculosis and 18 nontuberculous mycobacteria by that system. RESULTS: Eighty-four mycobacteria (11.4%) out of 740 specimens isolated. The mean report time of new system was 21+/-8.2 day, while that of conventional one was 31+/-8.3 day (P<0.005). Algorithm capable of identification 13 mycobacteria species was made. It showed 19 RFLP patterns and 7 of them were new ones which have not been described. The result of identification for 32 mycobacteria by PCR-RFLP was identical with that of biochemical method. CONCLUSIONS: Culture and identification of mycobacteria by biphasic media and Multiplex PCR/PCR- RFLP was a easy, rapid and cost-effective method in the area with the high prevalence rate of tuberculosis.
Humans ; Multiplex Polymerase Chain Reaction ; Mycobacterium tuberculosis ; Nontuberculous Mycobacteria ; Polymorphism, Restriction Fragment Length ; Prevalence ; Tertiary Healthcare ; Tuberculosis

BACKGROUND AND OBJECTIVES: Plastic surgeons have generally avoided performing rhinoplasty in the presence of rhinosinusitis due to potential infection. For the otolaryngologist, concurrent rhinoplasty can produce increased periorbital swelling and ecchymosis, which can obscure the parameters used to monitor complications of the sinus procedure. But recent advances of endoscopic sinus surgery have made the simultaneous procedures safe in appropriately selected patient. The purpose of this report is to identify the indications and limitations of the simultaneous procedures. MATERIALS AND METHOD: Seven patients were treated by this combined modality and all were available for follow-up. There were 3 women and 4 men with a mean age of 35 years who underwent the combined procedure by the otolaryngologist. RESULTS: Recurrence of sinusitis occurred in one patient, and another patient wanted revision rhinoplasty for cosmetic dissatisfaction. There were no other complications. CONCLUSION: Combined rhinoplasty and endoscopic sinus surgery can be performed safely and with good results in selected patients.
Ecchymosis ; Female ; Follow-Up Studies ; Humans ; Male ; Pilot Projects* ; Recurrence ; Rhinoplasty* ; Sinusitis

BACKGROUND: Alteration in plasma lipid levels during malaria attacks was studied to evaluate the diagnstic values in vivax malaria. METHODS: The plasma levels of total cholesterol, triglycerides, HDL-cholesterol (HDL-c), and LDL-cholesterol (LDL-c) were analyzed and compared in 32 patients with vivax malaria at presentation, in 10 patients after 17-days of treatment with anti-malaria drug, and in 40 control individuals. Interrelation of lipid profile with other parameters including parasitemia level, platelet count, hemoglobin and WBC counts were analysed. RESULTS: In patients with malaria, serum total cholesterol, triglycerides, HDL-c and LDL-c concentrations were significantly lower than those of control subjects. None of lipid profile showed any correlation with the parasitemia level. After treatment, HDL-c was significantly elevated. CONCLUSION: These results suggest that lipid profile, especially decreased of HDL-c, may be a valuable information in the diagnosis of the malaria.
Cholesterol ; Cholesterol, HDL ; Cholesterol, LDL ; Diagnosis ; Humans ; Malaria ; Malaria, Vivax ; Parasitemia ; Plasma ; Plasmodium vivax* ; Plasmodium* ; Platelet Count ; Triglycerides

BACKGROUND: Alteration in plasma lipid levels during malaria attacks was studied to evaluate the diagnstic values in vivax malaria. METHODS: The plasma levels of total cholesterol, triglycerides, HDL-cholesterol (HDL-c), and LDL-cholesterol (LDL-c) were analyzed and compared in 32 patients with vivax malaria at presentation, in 10 patients after 17-days of treatment with anti-malaria drug, and in 40 control individuals. Interrelation of lipid profile with other parameters including parasitemia level, platelet count, hemoglobin and WBC counts were analysed. RESULTS: In patients with malaria, serum total cholesterol, triglycerides, HDL-c and LDL-c concentrations were significantly lower than those of control subjects. None of lipid profile showed any correlation with the parasitemia level. After treatment, HDL-c was significantly elevated. CONCLUSION: These results suggest that lipid profile, especially decreased of HDL-c, may be a valuable information in the diagnosis of the malaria.
Cholesterol ; Cholesterol, HDL ; Cholesterol, LDL ; Diagnosis ; Humans ; Malaria ; Malaria, Vivax ; Parasitemia ; Plasma ; Plasmodium vivax* ; Plasmodium* ; Platelet Count ; Triglycerides