Degenerative arthritis of the lumbar spine is one of the main causes of the low back pain over the fifth decade of life. Nowadays, it seems that the number of obese person increases gradually and the role of Obesity in the development of articular degeneration remains controversial. The authors studied 100 cases of the primary degenerative arthritis of the lumbar spine clinically and statistically and compared 50 cases among these with 2 control groups, with and without low back pain, from Mar. 1982 to Sep. 1982. The results were as follows: 1. Among the patients with the degenerative arthritis of the lumbar spine, the ratio of male to female was 1:4, and the age group with the highest frequency was the 6th decade (47%) 2. 44% was obese in the arthritis group and 26% in the control group with low back pain and 12% in the control group without low back pain. 3. The relative risk of the hypothesis that the arthritic patient is obeser than the patient with low back pain but without degenerative changes on X-ray was 2.3, but the hyposthesis was proved to be statistically insignificant. The relative risk of the hypothesis that the arthriticpatient was obeser than the patient without low back pain and degenerative changes on X-ray was 6.3 and proved to be statistically significant.
Arthritis ; Female ; Humans ; Low Back Pain ; Male ; Obesity ; Osteoarthritis ; Spine

Despite significant advances in obstetric and pediatric health care, Streptococcus agalactiae(Lancefield group B β-hemolytic Streptococcus, GBS) remains one 91 the most prevalent and devastating pathogens in peripartum women and their newborn infants. It may cause urinary tract infection, chorioamnionitis and endometritis, bacteremia, and cesarean wound infection in the peripartum period. It was Pasteur who first identified microbes in the blood and lorchia of septic women. After that, in 1938 the isolation of S. agalactiae from three mortally ill women was reported, thereby implicating it as another cause of puerperal sepsis. S. agalactiae is now one of the most common causes of neonatal sepsis and meningitis in the United States. However, in Korea there have been only twenty-three cases of neonatal meningitis and/or sepsis due to group B β-hemolytic streptococcus reported. Recent studies have noted other serious infections in adults, including bacteremia, pneumonia, cellulitis, osteomyelitis, meningitis, and endocarditis. In Korean adults no case of pneumonia due to S. agalactiae has been reported till now. As minimal inhibitory concentration of penicillin was reported to be higher for S. agalactiae than for S. pyogenes, minimal inhibitory concentration of penicillin for S. agalactiae should be tested. Herein we describe the course of a case of S. agalactiae pneumonia and bacteremia in a 74-year-old diabetic man, and we review the literatures.
Adult* ; Aged ; Bacteremia ; Cellulitis ; Chorioamnionitis ; Delivery of Health Care ; Endocarditis ; Endometritis ; Female ; Humans ; Infant, Newborn ; Korea ; Meningitis ; Osteomyelitis ; Penicillins ; Peripartum Period ; Pneumonia* ; Pregnancy ; Sepsis ; Streptococcus agalactiae* ; Streptococcus* ; United States ; Urinary Tract Infections ; Wound Infection

No abstract available.
Rhizotomy* ; Scoliosis*

Between Jan, 1971 and July, 1977, 28 consecutive patients underwent total cystectomy and ureteroileocutaneostomy for carcinoma of the bladder in the Department of Urology. Keimyung University Medical College and Hospital, and survival was valuated in 25 patients who had been followed for at least 5 years. 1. Patients ranged in age from 31 years to 72 years, with an average of 53.6 years with peak incidence in the 6th decade and the male to female ratio was 3:1. 2. Preoperative irradiation and pelvic lymphadenectomy were not performed. 3. Operative mortality was 7.1 percent. 4. Early complications included wound infection. wound dehiscence, ileus, intestinal obstruction, pulmonary embolism, rectal injury, spontaneously pneumothorax, hydropneumothroax, renal failure, and hepatic coma. Late complications included parastromal dermatitis, stromal ulceration, recurrent stromal bleeding, fecal fistula, intestinal obstruction and hydronephrosis. 5. The over all 5-year survival rate was 32 percent. The over all 5-year survival rate for patients with transitional cell carcinoma wag 33.3 percent, for squamous cell carcinoma 25 percent, and for adenocarcinoma 33.3 percent. 6. The 5-year survival rate for patients with superficial (A and B1) transitional cell tumor was 80 percent, for B2 and C tumor 11 percent and for D 25 percent. 7. The 5-year survival rate for patients with grade II tumor wag 57 percent, for grade III 17 percent, and for grade IV 20 percent.
Adenocarcinoma ; Carcinoma, Squamous Cell ; Carcinoma, Transitional Cell ; Cystectomy* ; Dermatitis ; Female ; Hemorrhage ; Hepatic Encephalopathy ; Humans ; Hydronephrosis ; Ileus ; Incidence ; Intestinal Fistula ; Intestinal Obstruction ; Lymph Node Excision ; Male ; Mortality ; Pneumothorax ; Pulmonary Embolism ; Renal Insufficiency ; Survival Rate* ; Ulcer ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urology ; Wound Infection ; Wounds and Injuries

Complications have been evaluated retrospectively in 190 cases with surgical procedures involving the ureter at the Department of Urology, Kyungpook National University Hospital during the period from January. 1972 to December, 1981. Wound infections occurred in 6.8 per cent, being the most commonly encountered, acute pyelonephritis and urine leakage in 5.3 per cent, respectively, wound dehiscence in 2.1 per cent, gross hematuria in 1.6 per cent, respiratory failure in 1.1 per cent, and etc. The overall complication rate was 23.2 per cent (44 of 1190 cases) and mortality rate was 1.6 per cent (3 of 190 cases). Complications occurred in 16 (13.6 per cent) of 106ureterolithotomies. 4 (13.8 per cent) of 29 cystoectopic stone manipulations, 6 (13.6per cent) of 19 nephroureterectomies. 4 (33.3 per cent) of 12 ureteroneocystostomies,6 (66.7 per cent) of 9 ileal conduits with total cystectomy, 2 of 3 cutaneous ureterotomies, and 1 of 3 ureteroureteroetomies. The most common complication of ureterolithotomy was wound infection, developed in 6 (5.7 per cent) cases. The complication rate of ureterolithotomy for patients with moderate to severe hydroureteronephrosis on IVP was higher than that for patients with normal finding or mild hydroureteronephrosis. Simple ureterolithotomy had a low complication rate of 9.0 per cent, but ureterolithotomy combined simultaneously with other surgery had a higher rate 50.0 of per cent. Ureteral surgery excluding ureterolithotomy showed a high complication rate of 45.4 per cent. Thus, these findings indicate that complication rate of ureteral surgery at our hospital is still relatively high, and suggest that every effort should be gone not only into preoperative and postoperative management of the patient, but also into improvement in surgical technique for ureteral surgery.
Cystectomy ; Gyeongsangbuk-do ; Hematuria ; Humans ; Mortality ; Pyelonephritis ; Respiratory Insufficiency ; Retrospective Studies ; Ureter* ; Urinary Diversion ; Urology ; Wound Infection ; Wounds and Injuries

It is well known that the medullary carcinoma of the breast is one of the special types of breast carcinoma with a good prognosis. At present, the medullary carcinoma of the breast is subclassified into 3 types: typical medullary, atypical medullary and nonmedullary carcinoma. Among them, the former has the best prognosis. We reviewed the film mammographic and ultrasonomammographic findings of 13 patients according to the reevaluated histopathologic diagnosis. Typical medullary carcinoma shows a well circumscribed mass with surrounding halo on film mammogram, and well defined mass with central intermediate echogenicity and peripheral low echogenicity and posterior acoustic enhancement on ultrasonomammogram. Atypical medullary carcinoma shows relatively well circumscribed mass with partial marginal obliteration on film mammogram, and irregular bordered mass with inhomogeneous echogenicity due to focal necrosis in the mass and associated findings of thick boundary, asymetrical lateral shadowing on ultrasonomammogram. Nonmedullary carcinoma shows lobulated mass with surrounding parenchymal distortion and skin thickening on film mammogram, and relatively well defined lobulating mass with surrounding parenchymal distortion and marked heterogeneous internal echogenicity on ultrasonomammogram. Therefore, differentiation between typical medullary carcinoma with good prognosis and atypical medulary or nonmedullary carcinoma with poor prognosis, may be possible by various diagnostic imaging modalities preoperatively. But further collective study shall be needed in near future.
Acoustics ; Breast Neoplasms ; Breast* ; Carcinoma, Medullary* ; Classification* ; Diagnosis ; Diagnostic Imaging ; Humans ; Necrosis ; Prognosis ; Shadowing (Histology) ; Skin

In 38 patients with traumatic wound dehiscence after cataract surgery, we evaluated the causes and degrees of the injury, surgical methods of repair and the final visual outcome from Aug. 1993 to Apr. 1977. Among 38 patients, twenty-five were men and thirteen were women. In 34 patients, wound dehiscence occurred within one month after cataract surgery. The common causes of wound dehiscence were trauma by the finger or fist (9 patients) and by the contusion (7 patients). But in 16 patients, the exact causes of trauma were not identified. Accompanied ocular findings were prolapsed iris (29 patients) , hyphema (9 patients) , and dislocation of intraocular lens (7 patients). All patients received operations for wound closure, iris reposition, anterior vitrectomy, intraocular lens reposition or removal, and iris partial resection. At the end of follow-up, 27 patients achieved corrected visual acuity 20/40 or over. To prevent wound dehiscence after cataract surgery, we suggest that protective eye shield should be applied at least for a month after surgery.
Cataract* ; Contusions ; Dislocations ; Female ; Fingers ; Follow-Up Studies ; Humans ; Hyphema ; Intraoperative Complications ; Iris ; Lenses, Intraocular ; Male ; Visual Acuity ; Vitrectomy ; Wounds and Injuries*

20 cases of study group whose follow-up period is over 6 months among 22 cases of bladder tumors treated with doxorubicin instillation following TUR during the period from December, 1981 through December, 1983 were compared with 30 cases of controlled group whose follow-up period is over 6 months among 32 cases of bladder tumors treated with thio-tepa instillation following TUR during the period from January, 1978 through June, 1981. Following result were obtained. 1. Recurrence rate In TUR + doxorubicin, 25%, In TUR+thio-tepa,30% 2. Interval between TUR & the first recurrence: In TUR + doxorubicin, average 9 months, In TUR + thio-tepa, average 8.1 months 3. Complication: In TUR + doxorubicin, painful urination in 2 cases(10%), In TUR + thio-tepa, hematuria, dysuria, painful urination, and urethral stricture in 8 cases(26.7%).
Doxorubicin* ; Dysuria ; Follow-Up Studies ; Hematuria ; Recurrence ; Thiotepa* ; Urethral Stricture ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urination

A case of multiple hamartomas of the unilateral chest wall in a four month old infant is presented. There have been a few reports on the CT findings of the chest wall hamartoma in infancy. We describe bone changes of the ribs and mineralization of this rare tumor on the CT scan, and the locations of two separate masses.
Hamartoma ; Humans ; Infant ; Miners ; Ribs ; Thoracic Wall* ; Thorax* ; Tomography, X-Ray Computed

The lack of specificity of an abnormal findings visualized on a conventional radiocolloid liver imaging remains a significant limitation of the examination. The purpose of this investigation is to clarify an equivocal abnormal finding visualized on a conventional liver and spleen imaging by using combination of scintiangiography and histogram as a quantiative assessment. Histo-analysis of peak colloidal distribution in the liver and spleen was undertaken as a complement of conventional liver imaging. The following useful patterns was emerged: 1. In hepatitis, the splenic uptake was slightly higher than in normal group. This change was usually not recognized in conventional imaging. 2. In liver cirrhosis, the liver uptake was markedly low whilst splenic uptake was very high, resulting in splenic shift and very low liver-spleen uptake ratio. 3. In hepatoma, the liver uptake was not definitely changed but splenic uptake was considerably high, so that the liver-spleen uptake ratio was very low. 4. In liver metastasis, both liver and splenic uptakes were within normallimits and the liver-spleen uptake ratio was not changed.
Carcinoma, Hepatocellular ; Colloids ; Complement System Proteins ; Evaluation Studies as Topic ; Hepatitis ; Liver ; Liver Cirrhosis ; Neoplasm Metastasis ; Radionuclide Imaging ; Sensitivity and Specificity ; Spleen