The congenital lumbosacral anomalies include spondylolisthesis, sacralization, lumbarization, spina bifida and others, and it has been reprted in the relevant literature that low back pain does not necssary to be complicated with these congenial anomalies of lumbo-sacral region. The incidence of this congenital anomalies in this country seems to be as rare as that other literatures. 27 cases of congenital lumbosacral anomalies treated at the Department of Orthopedic Surgery National Medical Center through the year of 1958 to 1969 were analyzed and reported in this paper. 1 Out of 27 cases, eight cases were sacralization. five were lumbarization, 11 were spondylolisthesis and three were spondylolysis. 2. Nine were treated by operation anb 18 were treated without operation. Out of nine operations, six cases were operated by transversectomy, among them sacralization and lumbarization were three respectively, and three cases were operated by anterior lumbo-sacral fusion in spondylolithesis. 3. The result of the cases treated by operation was superior to the result of the cases treated without operation in this series. Eight cases out of nine had good results in the group of operation, while five cases out of 18 had good results in the group of without operation.
Incidence ; Low Back Pain ; Orthopedics ; Spinal Dysraphism ; Spondylolisthesis ; Spondylolysis

No abstract available.
Acoustics* ; Vocal Cord Paralysis* ; Vocal Cords*

Primary non-Hodgkin's lymphoma of the lung is rare among extranodal lymphomas. The most common form is low grade B-cell type originated from the mucosa-associated lymphoid tissue (MALT) of the lung and primary peripheral T cell lymphoma of the lung is extremely rare. We recently experienced a case of fine needle aspiration cytology of primary peripheral T cell lymphoma of the lung in a 39-year-old male patient. The cytologic smears revealed some sheets of reactive epithelial cells, epithelioid histiocytes, and numerous polymorphous population of lymphoid cells composed of small and intermediate sized lymphoid cells and mature lymphocytes. Lymphoid cells were slightly larger than normal mature lymphocytes and showed significant irregularity of nuclear membrane. The internal nuclear structure was marked by chromatin clumping, clear parachromatin areas, and inconspicuous nucleoli. Histopathologically, atypical small lymphocytes infiltrated in the interstitium and alveolar sac. By the immunohistochemical study and molecular biologic study of gene rearrangement, the T cell clonality of atypical lymphoid cells was confirmed. Key words: Peripheral T cell lymphoma, Lung, FNAC
Adolescent* ; Adult ; B-Lymphocytes ; Biopsy, Fine-Needle ; Carcinoma, Medullary ; Chromatin ; Epithelial Cells ; Gene Rearrangement ; Histiocytes ; Humans ; Lung ; Lymphocytes ; Lymphoid Tissue ; Lymphoma ; Lymphoma, Non-Hodgkin ; Lymphoma, T-Cell, Peripheral ; Male ; Nephrosis, Lipoid* ; Nuclear Envelope ; Thyroid Gland

BACKGROUND: Extended-spectrum beta-lactamase-producing (ESBL) Klebsiella pneumoniae is an important cause of nosocomial infections in neonatal intensive care units (NICUs). This study aimed to reduce ESBL-producing K. pneumoniae in the NICU by using infection control measures. METHODS: We performed prospective surveillance cultures, monitoring, and education for infection control in the NICU between May and August 2011. Specimens were collected from all infants and the environment including stethoscopes, thermometers, ventilators, incubators, etc. The anterior nares and hands of healthcare workers were also screened. We inspected infection control practices and provided feedback. The level of infection control awareness was measured using a questionnaire. RESULTS: The level of awareness and performance of hand washing increased significantly after intervention (both P<0.001). The environmental management of healthcare providers also improved significantly (P=0.001). The yield of ESBL-producing K. pneumoniae from clinical specimens decreased gradually throughout the study period (30.4% in May to 12.6% in August). Central catheter-related K. pneumoniae bacteremia decreased from 1.3/1000 to 0/1000 catheter-days. CONCLUSION: Infection control measures including education, monitoring, and surveillance can lower the incidence of ESBL-producing K. pneumoniae in the NICU.
Bacteremia ; beta-Lactamases ; Cross Infection ; Delivery of Health Care ; Hand ; Hand Disinfection ; Health Personnel ; Humans ; Incidence ; Incubators ; Infant ; Infant, Newborn ; Infection Control ; Intensive Care Units ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal ; Klebsiella ; Klebsiella pneumoniae ; Pneumonia ; Prospective Studies ; Stethoscopes ; Thermometers ; Ventilators, Mechanical

Disc herniation is commonly thought to be disease of young and middle aged adult and the backache during adolescence and childhood frequently mislead the doctor to suspect other conditions such as epiphysitis, spondylolysis, and infection of vertebral column, etc. During the period of 1967~1977, 26 cases of juvenile disc herniation were collected at Catholic Medical College and the authors analysed these cases and the results are as follows. 1. The incidence was 3.4% of all disc herniation. 2. There was no sex predilection. 3. The clinical symptoms do not differ from that of the adult cases, but sensory disturbance and motor weakness appear less frequently. 4. Good result was obtained after the surgical removal of the involved disc. 5. The etiology of the disc herniation in childhood and adolescence is thought to be superimpositon of trauma over the preceding degenerative changes in disc.
Adolescent ; Adult ; Back Pain ; Humans ; Incidence ; Middle Aged ; Spine ; Spondylolysis

No abstract available.
Paralysis* ; Voice*

The immunocompetence is important not only to kill the neoplastic cells but also to keep the neoplastic cells from growing further. T lymphocyte is plays the most important role in maintaining the tumor immunity efficiently. T lymphocyte has its specific functions depending in the subset of T lymphocytes. The author analyzed the T lymphocyte subsets in 31 brain tumor patients using anti-CD3, anti-CD4, anti-CD8 monoclonal antibodies and flow cytometry to determine the immunological status of brain tumor patients. All CD3, CD4 and CD8 subsets were reduced in both benign and malignant brain tumor patients but more signigicantly reduced in malignant tumor group. But in benign tumor group, the subtypes of T lymphocytes were not so different from those of normal healthy controls except the pituitary tumor patients, who showed the significant decrease in all the subtypes. In malignant tumor group, each subtype was signigicantly reduced and CD8 subtypes was markedly reduced in metastatic tumor patients, These analyses were considered to have the possibility to be contributable to planning the further immunotherapy and also the possibility to moniter the brain tumor patients clinically.
Antibodies, Monoclonal ; Brain Neoplasms* ; Brain* ; Flow Cytometry ; Humans ; Immunocompetence ; Immunotherapy ; Lymphocytes ; Pituitary Neoplasms ; T-Lymphocyte Subsets* ; T-Lymphocytes*

No abstract available.
Eustachian Tube*

Two types of urine dipstick assays, Multistix-SG and Comber-9-Test RL, were compared for compatibility, accuracy, specificity and predictive values of a positive and negative test in 501 patients' urine and artificially prepared specimen. We found that the results of semiquantitative tests of Multistix-SG and Comber-9-Test RL performed were statistically similar in patients' specimen. The urinary leukocyte esterase tests of Comber-9-Test RL assays compared with urine sediment microscopy in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative test 83.7%, 48.1%, 90.3%, 47.4% and 90.1%, respectively. The urinary nitrite tests of Comber-9-Test RL assays compared with urine culture tests, in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative test were 90.3%, 19.4%, 84.7%, 53.8% and 94.1, respectively. For the urinary protein, the sulfosalicylic acid method was the most sensitive test for any kinds of protein, and Multistix-SG appeared more sensitive than Comber-9-Test RL for the albuminuria. For the urinary bilirubin and glucose, two dipstick assays were similar in their diagnostic efficiency. Finally in the urinary occult blood tests, Comber-9-Test RL assays was more sensitive than Multistix-SG.
Albuminuria ; Bilirubin ; Glucose ; Leukocytes ; Methods ; Microscopy ; Occult Blood ; Sensitivity and Specificity ; Urinalysis

No abstract available.