No abstract available.
Peptic Ulcer*

No abstract available in English.
Animals ; Dogs ; Femoral Neck Fractures ; Femur Neck ; Femur

No abstract available.
Gaucher Disease*

Trabeculectomy, as an operation precedure for glaucoman, decrease intraocular pressure(IOP)effectively. But the amount of decrease in IOP is different according to the etiology of glaucoma. Thirty four primary angle-closure glaucoma patients (37 eyes)who had undergone trabeculectomy only or trabeculecomy combined with cataract surgery and had been subsequently followed up for least 6 months, were enrolled in this study. In 12 patients(14 eyes) among 16 patients (18 eyes, Group 1) who had undergone trabeculecto-my only, IOP was controlled without glaucoma medication, while glaucoma medication was needed in the other 4 patients (4 eyes). Among 18 patients (19 eyes, Group 2) who had undergone trabeculectomy combined with cataract surgery, IOP were controlled without glaucoma medication 9 patients (10 eyes); controlled with medication in 8 patients (8 eyes); and not controlled even with 1 patient (1 eye). The amount of decrease in IOP was no statistically different between the two groups. Group 2 had deeper anterior chamber than Group 1 (p<0.01). The above results suggest that the combined pro-cedure may benefit in primary angle-closure glaucoma patients, especially old complicated patients.
Anterior Chamber ; Cataract* ; Glaucoma ; Glaucoma, Angle-Closure* ; Humans ; Intraocular Pressure ; Trabeculectomy

OBJECTIVE:Ultrasound estimation of amniotic fluid volume (AFI) is a critical component of antenatal surveillance. Alterations in AFI have classically been considered an indication of fetal compromise. Thus, this study was undertaken to determine whether there is any association between idiopathic polyhydramnios or oligohydramnios and adverse perinatal outcome. METHODS:Women delivered between December 1999 and November 2005, and who underwent ultrasonography from 26 to 41 weeks gestation were analyzed. Twenty-seven consecutive women with singleton pregnancies complicated by idiopathic polyhydramnios (amniotic fluid index>25) and 31 women complicated by oligohydraminos (amniotic fluid index<5) were included in this study. We reviewed the perinatal outcomes including preterm delivery, birth weight, primary cesarean section rate and indication, Apgar score (1-min and 5-min), and admission to NICU (neonatal intensive care unit). These findings were compared with those of 50 matched control patients with normal amniotic fluid volume. RESULTS:We observed that idiopathic oligohydramnios was significantly associated with primary perinatal outcome (Cesarean delivery for fetal distress) as well as secondary outcome variables such as birthweight, SGA (small for gestational age), Apgar score<7 at 1-min, 5-min, and NICU admission rates. On the other hand, idiopathic polyhydramnios did not correlate with any other perinatal outcome, except for rates of LGA (large for gestational age). CONCLUSION:The present study suggests that AFI is a weak predictor of perinatal outcome than has been classically suggested. But we demonstrated that the AFI identification of polyhydramnios was helpful in identifying LGA, and idiopathic oligohydramnios was a significant predictor of poor perinatal outcome.
Amniotic Fluid ; Apgar Score ; Birth Weight ; Cesarean Section ; Female ; Hand ; Humans ; Critical Care ; Oligohydramnios* ; Polyhydramnios* ; Pregnancy ; Ultrasonography

No abstract available.
Humans ; Organophosphate Poisoning* ; Respiratory Insufficiency*

PURPOSE: Emergency Medicine became a medical specialty in Korea more than 20 years ago. However, Emergency Medicine is struggling due to lack of enthusiasm from young physicians. Working conditions, personal well-being, and all around satisfaction were analyzed in a survey to determine the reality. METHODS: A survey was conducted in 2010. The survey consisted of personal interests, working conditions, and salaries of members of the Korean Society of Emergency Medicine (KSEM). Several factors were estimated to evaluate the satisfaction of emergency physicians (EP). RESULTS: A total of 394 survey results were collected from 635 currently working emergency physicians out of 841 registered EPs. In the survey 48.6% of EPs were considering retiring from current practice. The preferred retirement age was 55. The survey also showed that many EPs considered that night shift was possible up to age 50. According to the responses, 50.5% of EPs in their 30s, 53.4% of EPs in their 40s were considering retiring. Factors influencing their decision were burnout, night shift, age, health issues, rather than social isolation, litigation, and disappointment. However the disappointment was the only statistically significant factor influencing retirement. Using a ten point Likert scale, the score for satisfaction with residency training was 6.4; when asked if they would choose Emergency Medicine again, the score was 5.5; the score for satisfaction with the Korean Emergency Medical Service System was 3.9; the score for prospects of emergency medicine in 10 years was 5.8. CONCLUSION: Korean emergency physicians are under a lot of stress from the job and are unsatisfied. Many in their 30s and 40s are considering retiring from practice. Therefore, establishment of clear cut standards on working hours and environments is imperative to improve the satisfaction of working emergency physicians.
Emergencies* ; Emergency Medical Services ; Emergency Medicine ; Humans ; Internship and Residency ; Job Satisfaction ; Jurisprudence ; Korea ; Retirement ; Salaries and Fringe Benefits ; Social Isolation ; Surveys and Questionnaires

Parosteal lipoma is a rare and generally asymptomatic benign tumor of mature adipose tissue that is located in direct apposition to the external surface of the bone. These tumors are occasionally associated with reactive changes in the underlying bone. The reactive bone formation is generally restricted to the base of the tumor, that is, near the periosteum. We recently experienced a case of parosteal lipoma in the proximal femur, which displayed exuberant bone and cartilage formation, and this led us to a misdiagnosis of chondroblastic osteosarcoma on the initial biopsy. We report here on this case with a special emphasis on making the differential diagnosis from osteosarcoma.
Adipose Tissue ; Biopsy ; Cartilage ; Chondrocytes ; Diagnosis, Differential ; Diagnostic Errors ; Femur* ; Lipoma* ; Osteogenesis ; Osteosarcoma ; Osteosarcoma, Juxtacortical ; Periosteum

No abstract available.
Antibodies* ; Mass Screening* ; Postpartum Period* ; Thyroid Gland*

Hyperkeratosis of the nipple and areola is a rare skin disordr characterized clinically by thickening and discoloration of the skin of the areola and/or nipple and pathoiog cally by papillomaosis or acanthosis-nigricans like changes. We report a case of hyperkeratosis of the nipple and areola occuring in a woman with no underlying endocrinopathy and no other additional hyperkeratotic conditions. Ttie iresent case seems to be the nevoid form by the Levy-Franckel classification. Treatment with topical medications including steroids and keratolytic agents produced no improvement. Therefore we recommeneded surgical excision because the paient was greatly disturbed by the appearance of the lesions. Surgical excision and full thickness skin graft were performed sucessfully.
Classification ; Female ; Humans ; Keratolytic Agents ; Nipples* ; Skin* ; Steroids ; Transplants*