Anti-Infective Agents ; Blood Glucose ; Cellulitis ; Diabetes Mellitus ; Drainage ; Foreign Bodies ; Humans ; Insulin ; Insulin Resistance ; Ludwig's Angina ; Metabolism ; Mouth Floor ; Tongue

BACKGROUND AND OBJECTIVES: Ischemic preconditioning (IP) has been shown to reduce the infarct size and severity of arrhythmia in a post-ischemic reperfused heart. Angina before myocardial infarction reflects brief episodes of myocardial ischemia and may be a marker of ischemic preconditioning. We studied the effect of a history of previous angina on early outcomes (infarct size, left ventricular (LV) function and residual myocardial ischemia) for patients with acute myocardial infarction (AMI) after thrombolytic therapy. MATERIALS AND METHOD: We examined prospectively 58 consecutive patients who had AMI and arrived hospital within 6 hours after chest pain developed. IP was defined as prodromal angina within 24 hours before myocardial infarction. Patients were divided 2 groups:Group I (Gr I, 30 cases) without IP, Group II (Gr II, 28 cases) with IP. Thrombolytic therapy was done 23 cases (77%) and 21 cases (75%) respectively in each groups. Thereafter, electrocardiographic findings, infarct size on the basis of peak creatine kinase, LV function on the 2-D echocardiographic findings, recurrent myocardial ischemia were examined between 2 groups. RESULTS: In predischarge 2-D echocardio-graphic findings, LV dilatation and normal regional wall motion did not differ between two groups. But, there were significantly smaller creatine kinase (CK)-determined infarct size in Gr II than that in Gr I (peak CK level, Gr I:1566.3+/-960.0 IU/L vs Gr II:1066.9+/-773.2; p<0.05). The time interval between the onset of infarction and peak CK level was shorter in Gr II than that in Gr I (Gr I:18.3+/-8.3 vs Gr II:10.7+/-3.4 hours; p<0.001). There were significantly more common incidences of residual myocardial ischemia in Gr II (Gr I:26.7% vs Gr II:60.7%; p<0.01). CONCLUSION: Patients with a history of prodromal angina preceding myocardial infarction had small infarct size and earlier reperfusion of infarct related artery. However, there were significantly more common residual myocardial ischemia in these patients and a trend toward re-infarction on same previous infarction sites.
Angina Pectoris* ; Arrhythmias, Cardiac ; Arteries ; Chest Pain ; Creatine Kinase ; Dilatation ; Echocardiography ; Electrocardiography ; Heart ; Humans ; Incidence ; Infarction ; Ischemic Preconditioning* ; Myocardial Infarction* ; Myocardial Ischemia ; Prospective Studies ; Reperfusion ; Thrombolytic Therapy

PURPOSE: To assess the accuracy of magnetic resonance(MR) arthrography in the diagnosis of anterior labral tear of the shoulder. MATERIALS AND METHODS: Between Semptember 1996 and February 2000, MR arthrography of the shoulder was performed in 281 patients with a history of shoulder pain or instability. Among this total, only 157 shoulders in 154 patients who underwent arthroscopy or open surgery 0 to 230 (average, 20.9) days after MR arthrography were included in this study; the subjects comprised of 150 males and 4 females with an average age of 23.3 years. MR arthrographs of these 154 patients were analyzed for the presence of anterior labral tears, and the findings were correlated with the arthroscopic and surgical findings. Anterior labral tear was classified as A to D according to its location, as determined by arthroscopy and surgery. (A=4 to 6 o 'clock direction, anteroinferior; B=2 to 4 o 'clock direction, central; C=12 to 2 o 'clock direction, anterosuperior; D= SLAP lesions). The retrospective analysis of MR arthrographs showing false-positive and negative findings was also undertaken. RESULTS: In the diagnosis of anterior labral tear, MR arthrography showed a sensitivity of 94%, a specificity of 90% and an accuracy of 91%. Anterior labral tears were confirmed by arthroscopy or surgery in 62 of the 157 shoulders (39%). Among 62 lesions, two (3%) were observed in area A, 32(52%) in area A+B, nine (15%) in area A+B+C, one(2%) in area A+B+D, 13(21%) in area A+B+C+D, two (3%) in area B+C, one(2%) in area B+D, and two(3%) in area C. Among ten false-positive cases, seven were focal lesions (two, three and two lesions in area A, B and C, respectively), and in the remaining three cases, located in area A+B, MR arthrography revealed thickening and deformation. All four false negatives were focal lesions (two in area A and two in area C). CONCLUSION: Other than in focal lesions, in which accuracy was relatively low, MR arthrography showed high sensitivity, specificity and accuracy in the diagnosis of anterior labral tear of the shoulder.
Arthrography* ; Arthroscopy ; Diagnosis ; Female ; Humans ; Male ; Retrospective Studies ; Sensitivity and Specificity ; Shoulder Pain ; Shoulder*

The purpose of this study Is whether we can presuppose the correlation between some type of anemia and exposure to organic solvents using some hematologic index such as MCV, RDW and MCHC. The authors conducted the hematological examination of 160 male workers who were exposed organic solvents and those of 167 control workers. The type of anemia was slightly macrocytic anemia, and the RDW was generally homogenous in workers exposed to organic solvents whereas those of control were normocytic and homogenous.
Anemia* ; Anemia, Macrocytic ; Humans ; Male ; Solvents*

No abstract available.
Tongue*

The purpose of this study is to evaluate the hematological changes of workers exposed to mixed organic solvents and to search the organic solvent that bring out these changes. The study participants were 1,605 workers, consisting 1,088 workers (male 989, female 99) exposed to mixed organic solvents and 517 non-exposed workers (male 431, female 86). The authors analyzed the results of complete blood count and differential count of leukocytes of all the workers and examined all of the material safety data sheets of substances with which they dealt and the results of their working environmental surveys during the last 3 years. The results were as follows: 1. The mean values of complete blood count in workers exposed to mixed organic solvents were lower than that of non-exposed workers in WBC, RBC, hemoglobin and hematocrit in cases of male and RBC, hemoglobin and hematocrit in cases of female, but the mean value of platelet count in male exposed workers and WBC count in female exposed workers were higher than those of non-exposed workers. 2. The distribution of differential count of leukocytes showed no difference between exposed workers and non-exposed workers. 3. The correlation coefficients between age and duration of employment and WBC showed statistically a positive value and that between age and duration of employment and RBC, hemoglobin, hematocrit showed a statistically negative value in cases of male exposed to mixed organic solvents. But in cases of female there was no statistical correlation between them. 4. In cases of male the proportions of workers with subnormal levels of WBC, RBC, hemoglobin, hematocrit and platelet according to the standard of classification were high or than those of non-exposed workers. The proportions of exposed workers were 3.6 %, 18.6 %, 5.3 %, 32.7 % and 1.4 % respectively and those of non-exposes workers were 2.8 %, 10.7 %, 2.1 %, 13.9 % and 0.2 % respectively. 5. In cased of female the proportion of workers with subnormal levels of RBC, hemoglobin and hematocrit according to the standard of classification were higher than those of non exposed workers. The proportion of exposed workers were 42.4 %, 55.6 % and 41.4 % respectively and those of non-exposed workers were 10.5 %, 11.6 % and 8.1 % respectively. 6. The number of substances with which workers exposed to mixed organic solvents dealt were about 500, and 22 organic solvents such as xylene, toluene, isopropyl alcohol, 2-ethoxyethanol and 2-ethoxy ethyl acetate were main components of substances according to the material safety data sheet and working environmental surveys during the last 3 years. The authors suspect 2-ethoxyethanol and 2-ethoxy ethyl acetate of the organic solvents, which bring out the hematological changes of workers exposed to mixed organic solvents. As a result of this study, the authors confirmed the hematological changes of workers exposed to mixed organic solvents and recommend : strict management of working environment, working time and the protective equipments of workers exposed to mixed organic solvents.
2-Propanol ; Blood Cell Count ; Blood Platelets ; Classification ; Employment ; Female ; Hematocrit ; Humans ; Leukocytes ; Male ; Material Safety Data Sheets ; Platelet Count ; Solvents* ; Toluene ; Xylenes

The purpose of this study is to evaluate the hematological changes of workers exposed to mixed organic solvents and to search the organic solvent that bring out these changes. The study participants were 1,605 workers, consisting 1,088 workers (male 989, female 99) exposed to mixed organic solvents and 517 non-exposed workers (male 431, female 86). The authors analyzed the results of complete blood count and differential count of leukocytes of all the workers and examined all of the material safety data sheets of substances with which they dealt and the results of their working environmental surveys during the last 3 years. The results were as follows: 1. The mean values of complete blood count in workers exposed to mixed organic solvents were lower than that of non-exposed workers in WBC, RBC, hemoglobin and hematocrit in cases of male and RBC, hemoglobin and hematocrit in cases of female, but the mean value of platelet count in male exposed workers and WBC count in female exposed workers were higher than those of non-exposed workers. 2. The distribution of differential count of leukocytes showed no difference between exposed workers and non-exposed workers. 3. The correlation coefficients between age and duration of employment and WBC showed statistically a positive value and that between age and duration of employment and RBC, hemoglobin, hematocrit showed a statistically negative value in cases of male exposed to mixed organic solvents. But in cases of female there was no statistical correlation between them. 4. In cases of male the proportions of workers with subnormal levels of WBC, RBC, hemoglobin, hematocrit and platelet according to the standard of classification were high or than those of non-exposed workers. The proportions of exposed workers were 3.6 %, 18.6 %, 5.3 %, 32.7 % and 1.4 % respectively and those of non-exposes workers were 2.8 %, 10.7 %, 2.1 %, 13.9 % and 0.2 % respectively. 5. In cased of female the proportion of workers with subnormal levels of RBC, hemoglobin and hematocrit according to the standard of classification were higher than those of non exposed workers. The proportion of exposed workers were 42.4 %, 55.6 % and 41.4 % respectively and those of non-exposed workers were 10.5 %, 11.6 % and 8.1 % respectively. 6. The number of substances with which workers exposed to mixed organic solvents dealt were about 500, and 22 organic solvents such as xylene, toluene, isopropyl alcohol, 2-ethoxyethanol and 2-ethoxy ethyl acetate were main components of substances according to the material safety data sheet and working environmental surveys during the last 3 years. The authors suspect 2-ethoxyethanol and 2-ethoxy ethyl acetate of the organic solvents, which bring out the hematological changes of workers exposed to mixed organic solvents. As a result of this study, the authors confirmed the hematological changes of workers exposed to mixed organic solvents and recommend : strict management of working environment, working time and the protective equipments of workers exposed to mixed organic solvents.
2-Propanol ; Blood Cell Count ; Blood Platelets ; Classification ; Employment ; Female ; Hematocrit ; Humans ; Leukocytes ; Male ; Material Safety Data Sheets ; Platelet Count ; Solvents* ; Toluene ; Xylenes

No abstract available.
Cryptococcosis*

Conventional laparoscopic surgery requires definite leaming curve, and must be converted to an open procedure in the event of a large vessel injury. The usage of carbon dioxide gas for securing operative field is generally accepted, but such field rapidly disappears when air pressure decreases. To overcome these shortcomings without sacrificing advantages of excellent cosmetic results and reduced wound pain of laparoscopy without using the gas insufflation, various urologic operations utilizing incisions 2 to 5 cm long were made without cutting abdominal musculature with the help of specially designed retractors and video systems used in conventional laparoscopic surgery. It can be performed in familiar anatomical settings and all the surgical skills of open procedures can be utilized. We have performed 3 living donor nephrectomies, 6 simple nephrectomies, 2 partial nephrectomies, 9 pyeloplasties, 16 ureterolithotomies, 1 ureteroureterostomy, and 2 renal cyst marsupializations. Mean operative time and hospital stay were 185 minutes and 7 days for living donor nephrectomies, 150 minutes and 6.7 days for simple nephrectomies, 255 minutes and 7.5 days for partial nephrectomies, 130 minutes and 4.8 days for pyeloplasties, 85 minutes and 4.1 days for ureterolithotomies, 90 minutes and 5 days for ureteroureterostomy, and 75 minutes and 5.5 days for renal cyst marsupializations, respectively. Immediate wound pain was severe probably due to intense traction of abdominal musculature, but the recovery of such pain was remarkably rapid. No postoperative wound paresthesia was seen and early discharge was possible. In conclusion, the gasless retroperitoneoscopically assisted surgery can take advantage of both conventional open and laparoscopic surgery, and it can be a valid option to conventional open surgery for any surgical procedures in retroperitoneum, including kidney, ureter, and bladder.
Air Pressure ; Carbon Dioxide ; Humans ; Insufflation ; Kidney ; Laparoscopy ; Length of Stay ; Living Donors ; Nephrectomy ; Operative Time ; Paresthesia ; Traction ; Ureter ; Urinary Bladder ; Wounds and Injuries

No abstract available.
Occupations*