OBJECTIVE: Cervical spine encompasses a bridge role between the head and the lower parts of the spine and therefore has unique properties. Our aim in this study was to evaluate the cervical sagittal alignment parameters in pediatric and adult non-surgical patients and to find any differences in respect of age, sex and admission type. METHODS: All patients who were admitted to emergency and neurosurgery clinics of Diyarbakir Bismil State Hospital due to cervical spine problems (trauma, radiculopathy, paraspinal pain) in 2014 were enrolled retrospectively into the study. Cervical anterior-posterior and lateral X-rays were obtained. Our exclusion criteria were cervical coronal deformity, multitrauma, Glasgow Coma Scale <15, traumatic disruption of the cervical spine, history of malignancy, spinal infection, metabolic or rheumatologic diseases. RESULTS: There were 44 female and 55 male patients (n=99) in the study. Thirty-five (35.35%) of the patients were younger than 18 years of age. Mean cervical spinal alignment parameters were as follows: -42.81+/-11.23degrees (OC2), -17.15+/-11.48degrees (C2-C7), -29.82+/-7.60degrees (T1 slope), -3.62+/-3.05degrees (C3), -3.14+/-3.05 (C4), -3.80+/-2.74degrees (C5), -3.12+/-2.36degrees (C6), -3.43+/-2.53degrees (C7). Positive correlations were observed between age-C2C7 angle, C2C7 angle-T1 slope, C3 angle-C4 angle, C4 angle-OC2 angle, C4 angle-T1 slope, C4 angle-C5 angle. The one only negative correlation was between OC2 angle-C2C7 angle. CONCLUSION: In this regional study, it has been observed that global cervical lordosis increases as age increases. C4 vertebra is in the middle of this evaluation as it has many correlations with other cervical segments, which should be kept in mind when making surgical plans for this delicate spine region.
Adult ; Animals ; Congenital Abnormalities ; Emergencies* ; Female ; Glasgow Coma Scale ; Head ; Hospitals, State* ; Humans ; Lordosis ; Male ; Neurosurgery* ; Radiculopathy ; Radiography ; Retrospective Studies ; Spine ; Turkey*

This article traces early career of Kong Pyung Woo, a public figure famous for being the first doctor of medicine in ophthalmology with Korean ethnicity in 1936, for founding and running the oldest and still the most successful private eye clinic in Korea since 1937, and also for his engagement in development of Korean mechanical typewriter since 1949. His case is an illustrative example of how a Korean under the Japanese colonial rule (1910-1945) could build up a career to become a medical doctor, taking full advantage of the chances available. Kong, born in 1907 in a rural province in northwestern Korea, acquired a doctor's license in 1926 by passing the qualifying examination of the Government General in Korea. The qualification test was in itself an outcome of colonial education system, in which the supply of medical doctors by only a few tertiary schools could not meet the demands. After working for a state hospital for one year, Kong volunteered to be a visiting student at Keijo Medical College, to fulfill his dream of "becoming a prominent bacteriologist like Noguchi Hideyo." He was soon officially appointed as a tutor at Department of Ophthalmology, as he had been endorsed by professor Satake Shyuichi for his diligence and earnestness. Satake also encouraged Kong to pursue a doctoral degree and recommended him to Tokumitsu Yoshitomi, a professor in the Department of Pathology at Keijo Imperial University, so that Kong could experience cutting-edge research at the imperial university. Kong reported on his experiments on the pathology of chorioretinitis centralis by 1935. He submitted the reports to Nagoya Imperial University, Japan, as a doctoral thesis, and eventually obtained the degree in 1936, which was the first Korean doctor of medicine in ophthalmology. The doctorate made Kong a public figure and he opened his own private clinic in 1937. The Kong Eye Clinic was the first private eye clinic owned and run by Korean, and soon became popular in Seoul. Kong's fame as a successful practitioner gradually made him express his opinion on various social issues. Kong did not hesitate to utilize his influence to advocate the new "modern" way of living, with special emphasis on speed and efficiency. His engagement in typewriter business since 1949 may also be attributed to his firm belief in the value of speed and efficiency. Although he could not fulfill his dream of being an academic, Kong still remains as an important figure in the history of medicine in modern Korea, not only for his publicity. By closely analyzing Kong's personal story, one can see various aspects of opportunities, personal networks, social norms, and limitations within the colonial setting.
Asian Continental Ancestry Group ; Chorioretinitis ; Commerce ; Education ; Education, Medical ; History of Medicine ; Hospitals, State ; Humans ; Japan ; Korea* ; Licensure ; Ophthalmology* ; Pathology ; Running ; Seoul

BACKGROUND: Fungal agents are commonly transmitted from dogs and cats to humans. OBJECTIVE: To identify the mycoflora of and association of skin diseases in dogs and cats fed as pets indoors. METHODS: A total of 435 animals (355 dogs and 80 cats) with or without skin lesions were included in the study; these animals lived indoors and had been examined in a veterinary hospital between August 2010 and May 2011. Their hair and scales were obtained using Mackenzie's brush technique, and a mycologic study was performed. RESULTS: Of the 435 animals examined, 3.2% had dermatophytes (DM), including 1.5% of the dogs with dermatoses (D-dogs), 0.6% of the dogs with normal skin (N-dogs), 43.8% of the cats with dermatoses (D-cats), and 6.3% of the cats with normal skin (N-cats). All the DMs isolated were identified as Microsporum canis. Nondermatophyte molds were isolated from 24.1% of the animals examined, including 19.3% of the D-dogs, 29.7% of the N-dogs, 18.8% of the D-cats, and 26.6% of the N-cats. Of the 435 samples examined, 49.5% yielded Malassezia pachydermatis (Mz. pachydermatis), including those from 58.4% of the D-dogs, 53.8% of the N-dogs, 31.3% of the D-cats, and 17.2% of the N-cats. The prevalence of Mz. pachydermatis infection in dogs aged 6 years and more was higher than that in the other dogs. CONCLUSION: In this study, the prevalence of DM in dogs and cats was lower than that reported in previous studies. DMs were found in a significantly higher percentage of D-cats (43.8%) than D-dogs (1.5%) (p < .001) and of N-cats (6.3%) than N-dogs (0.6%) (p=0.022). The prevalence of nondermatophyte molds did not significantly differ between dogs and cats with dermatoses or normal skin.
Aged ; Animals ; Arthrodermataceae ; Candida ; Carrier State ; Cats ; Dogs ; Fungi ; Hair ; Hospitals, Animal ; Humans ; Malassezia ; Microsporum ; Prevalence ; Skin ; Skin Diseases ; Weights and Measures

The 302 patients with head-injured military personnel who had admitted to the Department of neurosurgery, Capital Armed Forces General Hospital were clinicostatistically analysed and discussed with the review of the literatures. The results were as follows: The most common cause of head injury was traffic accident(38.4% of the total cases) and the next were, in order of incidence, simple fall(9.5%), exercise(3.9%), assault(13.5%) and gun shot wound or explosive injury(7.2%). 2) Skull fracture was identified in 214 cases;98 cases of linear, 87 cases of depressed, 4 cases of basal, 2 cases mixed skull fracture. 3) The 85.7% of epidural hematomas were associated with skull fracture and the most common site of hematoma was frontal area. 4) Of all cases of subdural hematoma, acute type was prevalent(67.9%) and its main involved wite was frontotemporoparietal areas. 5) The associated injuries were found in 35.7% of patients. 6) The minor head injury of which GCS is from 13 to 15 was 148 cases, the moderate head injury of which GCS is fromn 9 to 12 was 49 cases, the severe head injury of which GCS is form 3 to 8 was 105 cases. 7) Of 105 cases of severe head injured patients the mortality was 61.9% and good recovery was 7.6%. But outcome was different according not only to GCS but also the type of lesion. 8) The operative morality was 24.1% and the good recovery was achieved 55.2% of patients. The remaining 8.9% resulted in disabled or vegetative state. 9) In the accidents of gun shot wound or explosive injury, operation mortality rate was 31.8%, but 8 cases(36.3%) were seen good recovery.
Arm ; Craniocerebral Trauma ; Glasgow Coma Scale ; Head ; Hematoma ; Hematoma, Subdural, Acute ; Hospitals, General ; Humans ; Incidence ; Military Personnel* ; Morals ; Mortality ; Neurosurgery ; Persistent Vegetative State ; Skull Fractures ; Wounds and Injuries

During the three years from March, 1983 to Feb, 1986, 159 cases of head injury surgically treated in the department of neurosurgery, Capital Armed Forces General Hospital were clinicostatistically analysed and discussed with the review of the literature. The following results were obtained.1) Due to the army distinctiveness, all cases were male and the age incidence was becoming maximal at the third decade. 2) Traffic accidents form by far the largest Group(38.4%), and next are, in order of incidence, accidents due to fall from height, simple fall(19%), exercise(12.6%), gun shot wound or explosive injury(9.4%) and assault(9.4%). 3) Skull fracture were seen in 115 cases(72.3%), and nearly half of those 55 cases, were linear fracture. 4) Of the 133 patients with intracranial hematoma or subdural hygroma, 88 cases(66.7%) were accompanied by skull fracture. 93% of epidural hematomas were associated with skull fracture and the most common wite of hematoma was temporoparietal area. 5) Of all cases of subdural hematoma, acute type was prevalent(59.4%) and its main site involved was temporoparietal area. 6) The associated injuries were found in 22.6% of patients. The frequent ones were facial bone fracture, upper extremity fracture, clavicle fracture, and chest injury, in order. 7) The minor head injury of Glasgow coma scale score(GCS) of 13 to 15 was 68 cases(42.8%). The moderated head injury of 9 to 12 was 28 cases(17.6) and the serve head injury of 3 to 8, 63 cases(39.1%). 8) The operation mortality was 26.8% and the good recovery was achieved 55.4% of patients. The remaining 18.8% resulted in disabled or vegetative state. 9) In the accidents of gun shot wound or explosive injury, operation mortality rate was 60%, but 5 cases(33.3%) were seen good recovery.
Accidents, Traffic ; Arm ; Clavicle ; Craniocerebral Trauma* ; Facial Bones ; Glasgow Coma Scale ; Head* ; Hematoma ; Hematoma, Subdural, Acute ; Hospitals, General ; Humans ; Incidence ; Male ; Military Personnel* ; Mortality ; Neurosurgery ; Persistent Vegetative State ; Skull Fractures ; Subdural Effusion ; Thoracic Injuries ; Upper Extremity ; Wounds and Injuries

BACKGROUND: The prevalence of diabetes mellitus (DM) continues to increase, and the disease burden is the highest of any medical condition in Korea. However, large-scale clinical studies have not yet conducted to establish the basis for diabetes prevention in Korea. METHODS: The hospital-based Korean Diabetes Prevention Study (H-KDPS) is a prospective, multi-center, randomized, open-label controlled study conducted at university hospitals for the purpose of gathering data to help in efforts to prevent type 2 DM. Ten university hospitals are participating, and 744 subjects will be recruited. The subjects are randomly assigned to the standard care group, lifestyle modification group, or metformin group, and their clinical course will be observed for 36 months. RESULTS: All intervention methodologies were developed, validated, and approved by Korean Diabetes Association (KDA) multi-disciplinary team members. The standard control group will engage in individual education based on the current KDA guidelines, and the lifestyle modification group will participate in a professionally guided healthcare intervention aiming for ≥5% weight loss. The metformin group will begin dosing at 250 mg/day, increasing to a maximum of 1,000 mg/day. The primary endpoint of this study is the cumulative incidence of DM during the 3 years after randomization. CONCLUSION: The H-KDPS study is the first large-scale clinical study to establish evidence-based interventions for the prevention of type 2 DM in Koreans. The evidence gathered by this study will be useful for enhancing the health of Koreans and improving the stability of the Korean healthcare system (Trial registration: CRIS KCT0002260, NCT02981121).
Clinical Study ; Delivery of Health Care ; Diabetes Mellitus ; Diabetes Mellitus, Type 2 ; Early Intervention (Education) ; Education ; Hospitals, University ; Incidence ; Korea ; Life Style ; Metformin ; Prediabetic State ; Prevalence ; Primary Prevention ; Prospective Studies ; Random Allocation ; Risk Reduction Behavior ; Weight Loss