No abstract available.
Breast Neoplasms* ; Breast*

No abstract available.
Pregnancy Rate* ; Pregnancy* ; Sterilization*

The amplitude of accommodation of 490 normal Koreans aged 6 to 70 was measured with minus lens to blur technique. Duane's single, fine thread target was used. The result was divided into 13 age-groups as follows: 1. The age group of 6 to 10: The range was 16.25 D to 11.50 D, the median 14.50 D and mean 14.55 D. 2. The age group of 11 to 15: The range was 16.25 D to 11.00 D, the median 12.5O D and the mean l2.36 D. 3. The age group 16 to 20: The range was 13.5O D to 8.75 D, the median 10.50 D and the mean 10.75 D. 4. The age group of 21 to 25: The range was 12.00 D to 5.5O D, the median 9.00 D and the mean 8.86 D. 5. The age group of 26 to 30: The range was 9.25 D to 6.00 D, the median 7.5O D and the mean 7.25 D. 6. The age group of 31 to 35; The range was 7.5O D to 4.75 D, the median 6.00 D and the mean 6.10 D. 7. The age group of 36 to 40: The range was 6.00 D to 4.00 D, the median 5.00 D and the mean 4.9O D. 8. The age group of 41 to 45: The range was 5.25 D to 2.00 D, the median 3.75 D and the mean 3.81 D. 9. The age group of 46 to 50: The range was 4.75 D to 1.75 D, the median 2.75 D and the mean 2.84 D. 10. The age group of 51 to 55: The range was 3.00 D to 1.00 D, the median 2.00 D and the mean 2.06 D. 11. The age group of 56 to 60: The range was 2.00 D to 0.5O D, the median 1.50 D and the mean 1.34 D. 12. The age group of 61 to 65. The range was 1.55 to 0.00 D, the median 0.75 D and the mean 0.72 D. 13. The age group of 66 to 70. The range was 0.5O D to 0.00 D, the median 0.25 D and the mean 0.21 D. Amplitude of accommodation is found to be gradually decreasing with the advancing age and no sudden decrease was noted. The results are similar to those of Donder's. Compared with Duane's, my results showed a slightly higher value below age of 10 and slightly lower value above age of 15.
Humans ; Reference Values*

No abstract available.
Aortic Aneurysm, Thoracic*

PURPOSE: Objective measurements of knee of flexor and extensor strength using isokinetic equipment and function after total knee arthroplasty (TKA) were evaluated until postoperative 12 months. MATERIALS AND METHODS: The control group constituted of 15 persons who were of same age and weight without knee problems. Most of the patients (70%) were operated on both knees simultaneously. The patient group consisted of constituted with 20 patients (34 cases). Isokinetic testing (Cybex) of knee flexor and extensor strength of knee and functional evaluation by HSS score was performed preoperatively and at 3, 6, 12 months postoperatively. RESULTS: The peak torque of the knee extensor and flexor muscle in the patient group was decreased by 17-41% compared to the control group. Especially, the peak torque of extensor was more decreased than flexor muscles. At postoperative 12 months, the peak-torque values of hamstring and quadriceps were able to attain the same strength levels of the preoperative knee. According to the grade of the Hospital for Special Surgery knee rating scales by Insall, 28 cases (82 %) in the patient group could obtain good result at postoperative one year. CONCLUSIONS: Exercises to increase the strength of extensor should be emphasized in the rehabilitation programs after TKA
Arthroplasty* ; Exercise ; Humans ; Knee* ; Muscle Strength* ; Muscles ; Rehabilitation ; Torque ; Weights and Measures

The diagnosis of dilated cardiomyopathy associated with pheochromocytoma was made in a 24 year old male on the basis of symptoms and signs, measurements of metabolites of catecholamine,echocardiography and radionuclide ventriculography were preformed and demonstrated. The presence of a tumor on both adrenal glands without definite distant metastasis was demonstrated by abdominal ultrasonography, CT scanning and 131I-MIBC scintigraphy. Surgical removal was performed after proper preoperative preparation with a-adrenergic blocker. During the surgery, neither significant arrhythmia nor severe change of blood pressure was observed. After surgery, cardiac function of the patient improved slowly and progressively.
Adrenal Glands ; Arrhythmias, Cardiac ; Blood Pressure ; Cardiomyopathy, Dilated* ; Diagnosis ; Humans ; Male ; Neoplasm Metastasis ; Pheochromocytoma* ; Radionuclide Imaging ; Radionuclide Ventriculography ; Thoracic Surgery ; Tomography, X-Ray Computed ; Ultrasonography ; Young Adult

Amyloidosis results from the deposition of insoluble, fibrous amyloid proteins, nearly always in the extracellular spaces of organs and tissues. There are several varieties of amyloidosis, each of which is identified by the immunochemical nature of amyloid protein fibrils. Amyloid goiter is a very rare clinical entity and can be confused with a neoplasm. We have experienced a case of amyloid goiter with hypothyroidism secondary to tuberculosis. A 20 years old women with 5 months history of pulmonary tuberculosis was admitted with complaints of diarrhea, abdominal pain, weight loss at one year ago. She had a non-tender, diffuse and firm goiter. Also she had normal thyroid function at the first admission but was found to be hypothyroid at the second admission, 10 months later. Histologic examination revealed amyloid deposition in thyroid gland, stomach, colon and rectum.
Abdominal Pain ; Amyloid* ; Amyloidogenic Proteins ; Amyloidosis ; Colon ; Diarrhea ; Extracellular Space ; Female ; Goiter* ; Humans ; Hypothyroidism* ; Plaque, Amyloid ; Rectum ; Stomach ; Thyroid Gland ; Tuberculosis ; Tuberculosis, Pulmonary ; Weight Loss ; Young Adult

No abstract available.
Injections, Intralesional* ; Tuberculosis*

Penile melanosis is a beniign macular hyperpigmentation of the penile shaft and/or glans. Clinically the lesions are irregular in outline and show variegated pigmentation. The main differential diagnostic problem is with acral levtiginous melanoma. A 28-year-old man was seen with slowly growing, asymptomatic, multifocal, and variegated hyperpigmented maculs on the glans penis of 28-year-duration. The post and family history were non-contributory. Hostogologic examination showed acanthosis and basal layer hyperpigrnentation but atypical melanocytes were not seen. Fontana-Masson stain showed increased melanin pigmentation with dendritic elongation of melanocytes in the basal layer of the epidermis. Little is known about the natural history and melnona risk of penile melanosis and we believe that a long-term follow-up is warranted. This patient showed no change during the follow-up period of 2 years and we will continue to monitor him long-term.
Adult ; Epidermis ; Follow-Up Studies ; Humans ; Hyperpigmentation ; Male ; Melanins ; Melanocytes ; Melanoma ; Melanosis* ; Natural History ; Penis ; Pigmentation ; Vitiligo

Paget's disease of the breast occurs almost exclusively in women, and is characterized by a unilateral, sharply defined eczematous skin lesion caused by epidermal metastases from underlying ductal adenocarcinoma of the breast. Paget's disease of the male breast is extremely rare. A 61-year-old patient had a skin lesion on the right nipple for 1 year. The lesion was a well defined, brownish, crusted, and keratotic papule, and was associated with an underlying walnut sized, fixed, hard mass and a palpable ipsilateral axillary lymph node. Histologic findings were consistent with Paget's disease. Results of immunoperoxidase staining technigues for S-100 protein and carcinoembryonic antigen were negative. After a modified radical mastectomy and chemotherapy, the patient has been in remission for 12 months.
Adenocarcinoma ; Breast* ; Carcinoembryonic Antigen ; Drug Therapy ; Female ; Humans ; Juglans ; Lymph Nodes ; Male* ; Mastectomy, Modified Radical ; Middle Aged ; Neoplasm Metastasis ; Nipples ; Paget's Disease, Mammary ; S100 Proteins ; Skin