BACKGROUND: The relationship between type II diabetes and congnitive function has been explored in several studies. But the result was controversial. The purpose of the study was to determine whether diabetes mellitus in older patients(>or=65 years) is assiciated with cognitive dysfunction and to discover the related factors with th cognitive dysfunction. METHOD: Twenty patients with type 2 diabetes and twenty subjects with non-diabetes are studied with cognitive function test at Hwachun health center and county hospital. Cognitive function was assessed using Mini-Mental State Examination and Clock Drawing test and the score was analyzed. The diabetes groups were subdivided with duration of diabetes, HbAlc, chronic diabetic complications and then analyzed. RESULTS: A total of 6(30%) diabetic subjects scored below 24 on mini-mental state examination, compared with 3(15%) of controls(p=0.2560). The mean socres were 20.1+/-2.7 and 19.0+/-3.5 respectively. Clock drawing test demonstrated that 13(65%) diabetic subjects inconectly placed the numbers and hands, compared with 7(35%) of controls(p=0.0578>0.05). The duration of diabetes mellitus, HbAlc, chronic diabetic com- plications were not associated with cognitive dysfun- ction among diabetic subjects. CONCLUSIONS: The study showed that type 2 diabetes mellitus in the elderly is not associated with cognitive dysfunction, but further study should be done.
Aged ; Diabetes Complications ; Diabetes Mellitus* ; Diabetes Mellitus, Type 2 ; Hand ; Hospitals, County ; Humans

No abstract available.

No abstract available.
Drug Therapy, Combination* ; Necrosis* ; Radiotherapy* ; Small Cell Lung Carcinoma*

No abstract available.
Arthroplasty* ; Knee* ; Osteoarthritis*

No abstract available.
Joints*

The purpose of this study was to assess the results of passive release of the pulley with needle under local anesthesia performed at the out patient department. There were 68 fingers of 54 patients. Fifteen patients(27.8 %) were male and 39 patients(72.2 %) were female. Involved fingers were 28 thumbs(41.2 %), 7(10.3 %) index fingers, 14(20.6 %) middle fingers, and 19(27.9 %) ring fingers. Ages were varied-between 41 years and 61 years old. Rheumatoid fingers were 12(17.6 %). The others had no underlying disease. An 18 gauge needle was introduced distal to the palpable nodule. The pulley was released passively when the PIP joint was extended. The follow-up period was 4.5 years on average(range; 1-8 years). At final follow-up local recurrence was noted in 1-2 weeks in 7 cases(10.3 %), which was due to technical fault in early trial cases. The patients complained of pain for a few days and mild tenderness for less than 2 weeks. In three cases adhesion occurred, which was resolved in a week by maniqulation. There was no difference between rheumatoid arthritis and the other underlying diseases as far as rate of recurrence was concerned. From these results it would be suggested that the passive release of pulley with needle is an effective method for the treatment of adult trigger finger.
Adult ; Anesthesia, Local ; Arthritis, Rheumatoid ; Female ; Fingers ; Follow-Up Studies ; Humans ; Joints ; Male ; Methods ; Needles ; Recurrence

No abstract available.

No abstract available.
Arthritis* ; Knee*

No abstract available.
Thoracic Outlet Syndrome*

The aim of this study was to analyze the process of restoration of muscle power following arthroscopic primary repair of ACL with manual test and Cybex test for one year postoperatively. Arthroscopic primary repair of the ACL was performed in 24 fresh tear. Postoperatively a limited motion brace was applied. Full weight bearing was allowed at 10 weeks postoperatively. In all cases mid-thigh circumference at 7.5 cm proximal to the upper pole of patella was measured. Manual muscle power test and Cybex test were also performed and the differences between the normal and the affected legs were recorded. The manual test and measurement of mid-thigh circumference were performed at 6 weeks, 12 weeks, 6 months and 1 year postoperatively. All cases showed 'normal' muscle power at 6 weeks after surgery in manual test. The mean difference of mid-thigh circumference was 4.5 cm(range 2.0-6.0 cm) at 6 weeks, 3.6 cm(range 1.0-6.5 cm) at 12 weeks, 2.9 cm(range 1.8-4.8 cm) at 6 months and 0.9 cm(0.5-2.5 cm) at 1 year after surgery. The peak torque deficit measured by Cybex test showed 50-82%(average 65.8%) in extensor and 24-96 %(average 60.6 %) in flexor at 12 weeks, 21-60 %(average 41.4 %) in extensor and 2-50 %(average 32.4 %) in flexor at 6 months, 1-23 %(average 13.1 %) in extensor and 1-19 %(average 11.4 %) in flexor at 1 year after surgery. From these results it would be suggested that the peak torque of muscles was not normal by Cybex test although the muscle power was restored clinically by 1 year following surgery.
Braces ; Leg ; Muscles ; Patella ; Tears ; Torque ; Weight-Bearing