No abstract available.
Biopsy, Fine-Needle* ; Humans ; Pathology, Surgical* ; Thyroid Gland* ; Thyroid Nodule*

BACKGROUND: Extracorporeal shock wave therapy (ESWT) is one of the treatment options used for patients with myofascial pain syndrome (MPS), although its effectiveness is controversial. The purpose of this study was to evaluate the effectiveness of ESWT in the treatment of MPS in terms of pain relief and functional improvements. METHODS: We assessed 93 patients with MPS who underwent ESWT from March 2009 to July 2014. After exclusion of 25 patients with shoulder diseases, 68 patients were enrolled in the study. The mean follow-up period was 7.5 months (± 4.2 weeks), and the average duration of symptoms was 5 months (range, 2-16 months). ESWT was applied to intramuscular taut bands and referred pain areas once a week for 3 weeks. Visual analog scale (VAS) pain scores and American Shoulder and Elbow Surgeons (ASES) scores were obtained at an initial assessment and at the 6-week, 3-month, and 6-month follow-up assessments. RESULTS: VAS pain scores and ASES scores improved significantly after 3 sessions of ESWT (p<0.05). Both scores were improved, although not significantly, after 6 weeks (p>0.05). CONCLUSIONS: ESWT is an effective treatment option for patients with MPS.
Elbow ; Follow-Up Studies ; Humans ; Myofascial Pain Syndromes* ; Pain, Referred ; Shock* ; Shoulder ; Visual Analog Scale

Malignant melanoma of the conjunctiva is rare and occurring usually before 30 years of age. The authors experienced a case of primary malignant melanoma of the conjunctiva of the right eye. This Case of 22 year old patient treated with enucleation and radiation for 22 times with Co60. This patient has been well till now after initial therapy without reccurence. We briefly reviewed the literatures relating to malignant melanoma.
Conjunctiva* ; Humans ; Melanoma* ; Young Adult

During the last two years, 43 cases of various types of glaucomatous eyes recieved trabeculectomy ab externo under the surgical microscope. To increase filtration, edges of the scleral incision were cauterized after suture of the lamellar scleral flap. And successful trabeculectomy was achieved in 10 of 11 eyes (90%) with primary open angle glaucoma and in 15 of 17 eyes (88%) with chronic angle closure glaucoma. But the results of trabeculectomy in patients with congenital glaucoma. aphakic glaucoma and absolute glaucoma were poor. In one of the congenital glaucoma case, trabeculotomy was performed simultaneously with trabeculectomy and a good result was achieved.
Filtration ; Glaucoma ; Glaucoma, Angle-Closure ; Glaucoma, Open-Angle ; Humans ; Sutures ; Trabeculectomy*

Asteroid hyalitis is a condition in which myriads of creamy or dull-white opacities (asteroid bodies) are suspended in the vitreous. Asteroid bodies are spherical or disc-shaped white bodies in the vitreous and were first differentiated from scyminans by Benson in 1894 as asteroid hyalitis (Benson's disease). The authors report here two cases of asteroid hyalitis: the first, a 55 year old male is associated with vitreoretinal hemorrhage, and the second, a 47 year old male is associated with cataract. Lens dislocation and pulmonary tuberculosis. They have no diabetes or hypercholesterolemla. We briefIy reviewed the literature relating to the asteroid hyalitis.
Cataract ; Hemorrhage ; Humans ; Lens Subluxation ; Male ; Middle Aged ; Tuberculosis, Pulmonary

Hemorrhagic fever with renal syndrome (HFRS) is an acute febrile illness caused by Eurasian hantaviruses and characterized by renal insufficiency, hemorrhage, thrombocytopenia, and shock. Each hantavirus is primarily associated with a single rodent host species or genus, and is transmitted to human via aerosols of rodent excreta. During the last decades, clinical features of HFRS in Korea have changed with mild degree of hypotension and very low prevalence of oliguria. Treatment of HFRS is mainly supportive. Recently, however, treatment of HFRS patients with ribavirin in China and Korea, within 7 days after the onset of fever, resulted in a reduced mortality as well as shortened course of illness. Although a commercial inactivated Hantaan virus vaccine has been on the market in Korea for more than 15 years, the effect of vaccination is not clear. Further efforts are necessary to develop safer and more effective hantavirus vaccines.
Aerosols ; China ; Fever ; Hantaan virus ; Hantavirus ; Hemorrhage ; Hemorrhagic Fever with Renal Syndrome ; Humans ; Hypotension ; Korea ; Oliguria ; Prevalence ; Renal Insufficiency ; Ribavirin ; Rodentia ; Shock ; Thrombocytopenia ; Vaccination ; Vaccines

Hemorrhagic fever with renal syndrome (HFRS) is an acute febrile illness caused by Eurasian hantaviruses and characterized by renal insufficiency, hemorrhage, thrombocytopenia, and shock. Each hantavirus is primarily associated with a single rodent host species or genus, and is transmitted to human via aerosols of rodent excreta. During the last decades, clinical features of HFRS in Korea have changed with mild degree of hypotension and very low prevalence of oliguria. Treatment of HFRS is mainly supportive. Recently, however, treatment of HFRS patients with ribavirin in China and Korea, within 7 days after the onset of fever, resulted in a reduced mortality as well as shortened course of illness. Although a commercial inactivated Hantaan virus vaccine has been on the market in Korea for more than 15 years, the effect of vaccination is not clear. Further efforts are necessary to develop safer and more effective hantavirus vaccines.
Aerosols ; China ; Fever ; Hantaan virus ; Hantavirus ; Hemorrhage ; Hemorrhagic Fever with Renal Syndrome ; Humans ; Hypotension ; Korea ; Oliguria ; Prevalence ; Renal Insufficiency ; Ribavirin ; Rodentia ; Shock ; Thrombocytopenia ; Vaccination ; Vaccines

Sore throat is undoubtedly the commonest complication noted after endotracheal intubation. We studied the incidence and factors affecting sore throat in 120 patients requiring orotracheal intubation for surgery from November, 1975 to June, 1976 at Seoul Red Cross Hospital. The following conclusions were obtained: 1) The incidence of sore throat was 36% 2) There was no correlation between sore throat and patient age. 3) No correlation between sore throat and sex was observed. 4) The incidence was low in poor general condition among patients. 5) It was more common after prolonged intubation. 6) It was least common in major operations such as abdominal surgery and most common in minor operations such as for extremities. 7) Less than 8 ml of air in the cuff did not affect significantly incidence of sore throat. 8ml Mild and moderate sore throat were more common (86%) than severe one. 9) Sore throat disappeared within 48 hours without any specific therapy(97.7%).
Clinical Study* ; Extremities ; Humans ; Incidence ; Intubation ; Intubation, Intratracheal ; Pharyngitis* ; Red Cross ; Seoul

This study evaluated the antimicrobial susceptibilities and macrolide resistance mechanisms of beta-hemolytic streptococci (BHS), and an additional objective was to assess the effects of 'the separation of prescribing and dispensing (SPD) of medications' on bacterial resistance rate and distribution of phenotypes and genotypes of erythromycin-resistant BHS by comparing the antimicrobial susceptibility data before (1990- 2000) and after the implementation of SPD at one tertiary care hospital in South Korea. Between the period of January 2001 and December 2002, the minimal inhibitory concentrations of six antimicrobials were determined for 249 clinical isolates of BHS. Resistance mechanisms of erythromycin-resistant (intermediate and resistant) isolates were studied by using the double disk test and PCR. Overall, the resistance rates to tetracycline, erythromycin, and clindamycin were 75.5%, 32.9%, and 32.5%, respectively. Sixty-seven (81.7%) of 82 erythromycin- resistant isolates expressed constitutive resistance to macrolide- lincosamide-streptogramin B antibiotics (a constitutive MLSB phenotype) ; 11 isolates (13.4%) expressed an M phenotype; and four isolates (4.9%) had an inducible MLSB resistance phenotype. erm (A) was found in isolates with constitutive/ inducible MLSB phenotypes, erm (B) with the constitutive/ inducible MLSB phenotype, and mef (A) with the M phenotype. We found that resistance rates to erythromycin and clindamycin among S. agalactiae, S. pyogenes, and group C streptococci isolates were still high after the implementation of the SPD policy in Korea, and that the constitutive MLSB resistance phenotype was dominant among erythromycin- resistant BHS in this Korean hospital.
Anti-Bacterial Agents/*therapeutic use ; Cross Infection/drug therapy ; Drug Resistance, Bacterial ; Erythromycin/*therapeutic use ; Genotype ; Humans ; Korea ; Microbial Sensitivity Tests ; Phenotype ; Streptococcal Infections/*drug therapy ; Streptococcus agalactiae/*drug effects/genetics ; Streptococcus pyogenes/*drug effects/genetics

PURPOSE: The aim of this study was to define the characteristics of female voiding difficulty, and evaluate the effects of the alpha-blocker, tamsulosin, on the symptoms in those patients. MATERIAL AND METHODS: 148 patients, who complained of voiding difficulty between March 2002 and September 2004, were retrospectively evaluated. 32 patients with anatomical and neuropathic causes were excluded, with the remaining 116 assigned to 4 groups from their urodynamic evaluations: group I, bladder outlet obstruction (BOO) only; group II, BOO plus an overactive bladder (OAB); group III, detrusor underactivity (DU) only; and group IV, DU plus an OAB. After 2 weeks of observation, tamsulosin, 0.2mg/d, was prescribed in all groups, with the patients re-evaluated after 3 months. RESULTS: 58 (50%), 23 (19.8%), 20 (17.3%) and 15 (12.9%) of the 116 study subjects were placed into groups I, II, III and IV, respectively. In group I, 45 (77.5%) had symptomatic improvement after taking tamsulosin for 3 months, and in group II improvement was observed in 73.9% (17/23) of patients. In groups III and IV; however, improvements were seen in only 25 (5/20) and 13.3% (2/15) of cases, respectively. Dizziness, postural hypotension and urinary incontinence occurred in some patients, but these disappeared after the medication was discontinued. CONCLUSIONS: 81 patients (69.8%) had a bladder outlet obstruction, without detrusor underactivity, and 62 (76.5%) of these exhibited a voiding improvement after taking tamsulosin for three months. However, in patients with detrusor underactivity, the response rate was very low (20%).
Adrenergic alpha-Antagonists ; Dizziness ; Female ; Humans ; Hypotension, Orthostatic ; Retrospective Studies ; Urinary Bladder Neck Obstruction ; Urinary Bladder, Overactive ; Urinary Incontinence ; Urination Disorders ; Urodynamics