We experienced one case of severe pituitary dwarfism in a 16 years old male boy that magnetic resonance image(MRI) revealed transection of the pituitary stalk with the ectopic location of posterior pituitary gland and hypoplastic anterior pituitary gland. The serum growth horrnone(GH) response to clonidine and L-dopa revealed severe GH deficiency. The patient revealed normal response in TSH, prolactin and LH, FSH to TRH and LHRH respectively. So far, the primary cause of idiopathic pituitary dwarfism in many patients was due to hypoxic injury to hypothalmus by perinatal insults. In this patients, there was no history of perinatal insults and postnatal head trauma. We report a case of severe dwarfism due to hypogenesis of anterior pituitary gland.
Clonidine ; Craniocerebral Trauma ; Dwarfism ; Dwarfism, Pituitary ; Gonadotropin-Releasing Hormone ; Humans ; Levodopa ; Male ; Pituitary Gland ; Pituitary Gland, Anterior ; Pituitary Gland, Posterior ; Prolactin

This study was conducted to examine the effect of mefenamic acid for treatment of PDA in premature newborns. Ductus arteriosus is reopened by locally produced prostaglandin E2 in a premature newborn during hypoxia. Mefenamic acid is one of non-steroidal antiinflammatory drugs acting by inhibition of cyclo-oxygenase in the prostaglandin synthesis pathway. For three premature newborns with PDA, we administered mefenamic acid and evaluated them with echocardiography to study the effect of mefenmic acid for closure of PDA. In all three babies, ductus arteriosus was closed successfully. We feel that mefenamic acid is safe and effective medication for treatment of PDA in premature newborns, but further-study need to be conducted with larger numbers of cases to confirm this effect.
Anoxia ; Dinoprostone ; Ductus Arteriosus ; Echocardiography ; Humans ; Infant, Newborn* ; Mefenamic Acid* ; Prostaglandin-Endoperoxide Synthases

Cataract and refractive surgical procedures are now among the most common and successful in medicine. A clear understanding of the current situation and future trends in these fields has become increasingly important. Since 1995, we have annually surveyed the members of the Korean Society of Cataract and Refractive surgery(KSCRS) about cataract surgery technique, anesthesia, intraocular lens and refractive surgery. Third annual survey forms consisted of 71 multiple-choice questions were mailed in January 1998 to 180 ophthalmologist members of the KSCRS. Approximately 44% of the questionnaires mailed were returned by the February cutoff date. Current data were compared with data in previous annual survey. Over half of the respondents(52%) were in forties. Most of the cataract operation(83%) was carried out on hospitalized patients. Use of a retrobulbar with akinesia for cataract was 49%, and use of topical anesthesia increased from 5% in 1995 to 17% in 1996. Eight-one percent of surgeons used phacoemulsification for more than half of their patients. Selfsealing wound construction was main wound closure technique in phacoemulsification for 44%. The type of intraocular lens used for small incision cataract surgery included silicone(64%), small round PMMA(polymethyl methacrylate, 21%), and acrylic(11%). Sixty-three percent of surgery. From the answers to the survey, we found current trend and these results are valuable information to all ophthalmologists.
Anesthesia ; Cataract* ; Humans ; Lenses, Intraocular ; Phacoemulsification ; Postal Service ; Refractive Surgical Procedures* ; Wound Closure Techniques ; Wounds and Injuries ; Surveys and Questionnaires

Calcareous corpuscles are a characteristic structure found in larval and adult stage cestodes. These corpuscles are known to contain several protein components and to possess protein-binding activity. However, the proteins bound to calcareous corpuscles in situ have not been studied. The present study was undertaken to identify the proteins on calcareous corpuscles. Calcareous corpuscles were purified from the plerocercoids (= spargana) of Spirometra erinacei, and serially dissolved using 0.1 M sulfamic acid solution. Collected supernatants were examined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and silver staining. The results showed that only the fraction remaining after the 19th dissolved fraction contained proteins. A total of 20 protein molecules were detected in gel, with major bands at 56, 53, 46, 40, 35, 29, 28, 24.5, 21, 19, 16, 13, 10 and 8 kDa. In particular, the proteins corresponding to the 21 and 16 kDa bands were most abundant. Our results demonstrated for the first time the protein contents of the calcareous corpuscles of spargana. Further studies on the functions of these proteins are required.
Animals ; Centrifugation ; Electrophoresis, Polyacrylamide Gel ; Helminth Proteins/analysis/*metabolism ; Molecular Weight ; Protein Binding ; Research Support, Non-U.S. Gov't ; Silver Staining ; Sparganum/isolation & purification/*metabolism ; Spirometra/*metabolism ; Sulfonic Acids

Koreans had an ill feeling against the only public isolation hospital, and their ill feeling was a cause the movement for establishing a private isolation hospital. The bad seating capacity and the nearness to downtown of public isolation hospital, and some violence caused in the course of taking a patient to the public isolation hospital were concrete causes of the movement for establishing a private isolation hospital. The three purposes of the movement for establishing a private isolation hospital are as follows. First, for the purpose of removing the national ill feeling, Koreans had to establish the isolation hospital by themselves. Second, for the purpose of curing the patients, doctors needed to use Oriental medicine together. Third, for the purpose of doing away with the anxiety of infection, the isolation hospital had to be located in a distant place from downtown. The movement for establishing a private isolation hospital didn't succeed. It only ended up establishing a contagious ward in Severance hospital. Because whenever an isolation hospital was planned to be constructed somehere, the residents worrying about the infection opposed to the construction, and enough money didn't be gathered. Abve all, rich pro-Japanese men didn't contribute enough money. The middle and lower classes contributed almost all of the money. The movement for estabishing a private isolation hospital was the extension of anti-Japanese national feeling that sprung from the March 1st movement. In view of strenghtening Korean ability, the movement for establishing a private isolation hospital had a common cause with the Shilryokyangsong movement in the early 1920s.
Cholera/*history ; Colonialism/*history ; Communicable Diseases/*history ; English Abstract ; History of Medicine, 20th Cent. ; Hospitals, Public/*history ; Hospitals, Special/*history ; Human ; Japan ; Korea ; Patient Isolation/*history ; Politics

BACKGROUND: The successful management of chronic wounds requires adequate dressing materials and methods. Nanocrystalline silver is a recently developed form of silver antimicrobial barrier dressing material which has rapid and sustained anti-bacterial activity, reduces inflammation and promotes wound healing. OBJECTIVE: This study was done to evaluate the effect of nanocrystalline silver dressing method on the treatment of chronic wounds. METHODS: Twenty three patients with chronic wounds of various etiologies were treated with nanocrytalline silver mesh dressing material (Acticoat(TM)) using an occlusive method. Dressing changes were performed every 2 to 3 days until reepithelization. RESULTS: The treatment with nanocrystalline silver was effective in 21 of 23 cases. This dressing method can significantly reduce the frequency of dressing changes, and thus it was more comfortable to both patients and doctors. CONCLUSION: Occlusive method using nanocrystalline silver is a useful dressing method for various chronic wounds, particularly in an outpatient setting.
Bandages* ; Humans ; Inflammation ; Outpatients ; Silver* ; Wound Healing ; Wounds and Injuries*

Herein we report a case of lentigo maligna that evolved into lentigo maligna melanoma. Fifteen years ago, the patient developed a pigmented lesion on the right cheek. The lesion progressed slowly, and 2 months ago, a black nodular lesion was developed in the periphery of the pigmented lesion. Histopathologic examination of the lesions revealed findings consistent with lentigo maligna and lentigo maligna melanorna. She had been performed wide excision and cheek flap for reconstruction.
Cheek ; Humans ; Hutchinson's Melanotic Freckle* ; Lentigo* ; Melanoma*

Detachment of Descemet's membrane may occur in congenital glaucoma, birth trauma, keratoconus, Keratoglobus, Terrien's marginal degeneration, surgical and accidental traumas. Most common cause of detachment is a complication of intraocular surgery. We have experienced one case of spontaneous Descemet's membrane detachment in a 56-years-old female who was visited complaining of decreased visual acuity in her left eye of several years' duration. She has not had previous intraocular surgery, trauma and associated disease clinically. We report this case with available literature survery.
Descemet Membrane* ; Female ; Glaucoma ; Humans ; Keratoconus ; Parturition ; Visual Acuity

No abstract available.
Nevus*

No abstract available.
Retinopathy of Prematurity* ; Risk Factors*