No abstract available.
Humans ; Infant* ; Infant, Newborn* ; Radial Artery*

No abstract available.
Autonomic Pathways* ; Rectal Neoplasms* ; Urodynamics*

PURPOSE: We compared the efficacies of intravesical instillation of the mitomycin (MMC), Pasteur bacillus Carmette-Guerin (B.C.G.)(PBCG) and Tice B.C.G (TBCG) in patients with high risk superficial transitional cell carcinoma of bladder. MATERIALS AND METHODS: Our study included 49 patients with the stage T1 and the stage Ta with recurrent, grade 3, multiple or greater than 3 cm sized tumor. After complete transurethral resection of all visible tumors, 11 out of them were treated intravesically with 40 mg mitomycin C once a week for 8 consecutive weeks, 21 with 8~15 x 10(6) colony-forming units (CFU) Pasteur BCG and 17 with 2~8 x 10(8) CFU Tice BCG once a week for 6 consecutive weeks. RESULTS: The mean followup periods were 51.6 months for MMC group, 33 months for PBCG group and 17.8 months for TBCG group. The overall recurrence rates were 72.7% for MMC group, 38% for PBCG group and 17.6% for TBCG group (p=0.014). The mean times for recurrence were 8.1 months for MMC group, 9.7 months for PBCG group and 13.3 months for TBCG group (p=0.610). The tumor progression rates in each group were following, 3/11 (27%) for the MMC group, 2/21 (9.5%) for the PBCG group and 1/17 (5.9%) for the TBCG group (p>0.05). The difference in recurrence free survival rates between MMC group and PBCG group and between TBCG group and PBCG group was not significant (p>0.05). The difference in recurrence free survival rates between MMC group and TBCG group was significant (p=0.0012). CONCLUSIONS: Our result showed that TBCG group was superior to the others in recurrence rate and recurrence free survival rate, but further study including longterm followup and various HCG instillation dosage Is needed In order to confirm the preventive efficacy of BCG according to strain in superficial bladder tumor.
Administration, Intravesical ; Bacillus ; Carcinoma, Transitional Cell ; Follow-Up Studies ; Humans ; Mitomycin* ; Mycobacterium bovis* ; Recurrence ; Stem Cells ; Survival Rate ; Urinary Bladder Neoplasms* ; Urinary Bladder*

We report a case of lupus vulgaris following BCG vaccination in a 12-year-old male. The patient was vaccinated against tuberculosis on right shoulder 6 months ago. The erythemstous papular eruptions began to develop on the BCG vaccinated site 2 weeks after vaccination. The eruptions progressed to be pruritic, erythematous plaque which was flat, crescent shaped, and centrally covered by adherent scales for 6 months. Histopathological findings revealed tubercles and tuberculoid structures composed of epitheloid cells and Langhans giant, cells in the dermis. Caseation necrosis within the tubercles was slight or absent. In addition, there was an infiltrate of mononuclear cells around the tubercles. The skin lesions cleared after 6 months of treatment with oral isoniazid 300mg daily.
Child ; Dermis ; Humans ; Isoniazid ; Lupus Vulgaris* ; Male ; Mycobacterium bovis* ; Necrosis ; Shoulder ; Skin ; Tuberculosis ; Vaccination* ; Weights and Measures

Gorham's syndrome is a rare disorder involing a proliferation of vascular channels associated with extensive loss of bony matrix. It starts in bone, but it may secondarily involve soft tissue and adjacent bones. Although the osteolysis usuakky arrests spontaneously, its biologic behavior is difficult to predict. The mechanism of steolysis is unkown, and the role of osteoclasts is controverwial We have experienced one case of Gorham's syndrome affecting the scapula and clavicle, which is reported in this paper with brief review of literature.
Clavicle ; Osteoclasts ; Osteolysis ; Scapula

The aims of treatment of children with CDH untreated until walking age should be to reestablish the mechanics of the hip joint and avoid complications, especially avascular necosis, thus delaying the devlopment of osteoarthritis. In the child who is first seen between the ages of one and three years, considerable controversy still exists as to the merit of closed versus operative management. The average 29.3 months follow-up results in fifty congenitally dislocated hips in forty-five children with were between six and thirty-six months old when treatment was begun have been reviewed at the Department of Orthopaedic Surgery, In Je University, College of Medicine, Paik Hospital from June, 1979 to Aug, 1989. The results of this study were as follows: 1. Factors affecting method of treatment were age, degree of dislocation and acetabular index; A. Age 1) The children below ages of 18 months were treatment by closed reduction. 2) The children below ages of 18 months were treatment by open reduction with concomittant procedures. B. Degree of dislocation: Open reduction was more frequently reguired in higher degree of dislocation. C. Acetabular index: It was little influenced on method of treatment. 2. The complications were persisten subuxation (3 cases), temporary irregular ossification (16 cases) and avascular necrosis (1 cases).
Acetabulum ; Child ; Dislocations ; Follow-Up Studies ; Hip ; Hip Joint ; Humans ; Mechanics ; Methods ; Necrosis ; Osteoarthritis ; Walking

No abstract available.
Adult* ; Femoral Neck Fractures* ; Femur Neck* ; Humans

No abstract available.
Spondylolisthesis*

No abstract available.
Fractures, Open*

Congenital Hyperextension of the Knee is a extremly rare deformity, in which the tibia is displaced anteriorly in relation to the femur. It is usually classified into three subtypes according to severity of the status: genu recurvatum, subluxation and dislocation. (Curtis and Fisher) We experienced a genu recurvatum type of congenital hyperextension of the knee in June, 1976.
Congenital Abnormalities ; Dislocations ; Femur ; Knee ; Tibia