No abstract available.
Vibrio vulnificus* ; Vibrio*

No abstract available.
Breast Neoplasms* ; Breast* ; Female ; Humans

No abstract available.
Vibrio vulnificus* ; Vibrio*

OBJECTIVES: The purpose of this study was to determine the clinical significance of residual amniotic fluid volume, as measured by the amniotic fluid index(AFI), on the prediction of latency period and perinatal outcomes in patients with preterm premature rupture of the membranes(PPROM). METHODS: Study population consisted of 103 singleton pregnancies with PPROM between 24 and 34 weeks' gestation. Amniotic fluid index was determined using transabdominal ultrasound at admission. Latency period was defined as time interval in hours between admission and delivery. All medical records of mothers and neonates were reviewed. Spearman's rho rank correlation, receiver-operator characteristic(ROC) curve analysis, survival analysis and Cox's proportional hazard model were used for statistical analysis. RESULTS: There was a statistically significant correlation between latency period and AFI at admission. ROC curve analysis showed that AFI at admission had a significant predictive value in the prediction of latency period < 48 hours. Survival analysis demonstrated that AFI < 5.0 was strongly associated with the likelihood of shorter latency period, Cox's proportional hazard model indicated that AFI < 5.0 was a significant independent predictor for the occurrence of latency period < 48 hours even after adjustment of other independent variables. The patients with AFI <5.0 had a higher rate of cesarean section due to fetal distress than those with AFI > 5.0 but the incidence of chorioamnionitis was not significantly different between two groups. Comparing the perinatal mortality and neonatal morbidity including infectious morbidity between the neonates born to mothers with AFI <5.0 and those with AFI > 5.0, there was no significance after adjustment of gestational age at birth. CONCLUSION: AFI at admission has a significant correlation with latency period and predictive value in prediction of latency period in the patients with PPROM. AFI <5.0 is a independent predictor for the shorter latency period.
Amniotic Fluid* ; Cesarean Section ; Chorioamnionitis ; Female ; Fetal Distress ; Gestational Age ; Humans ; Incidence ; Infant, Newborn ; Latency Period (Psychology)* ; Medical Records ; Membranes* ; Mothers ; Parturition ; Perinatal Mortality ; Pregnancy ; Proportional Hazards Models ; ROC Curve ; Rupture* ; Ultrasonography

A clinical observation was made on 175 of the 232 patients with bladder tumor seen in the Department of Urology, Seoul National University Hospital during the period from January, 1975 to December, 1979. The following results were obtained: 1. During the period, 2,801 patients were hospitalized, there were 232 cases of bladder tumor, giving the ratio of 8.3%. 2. There were 142 males and 34 female with a ratio of 4.2:1. 75.3% of the patients were over 50 years old. 3. The most common symptoms were hematuria (91%), frequency (83%), urinary retention(32%) and painful urination (28%). 4. Twenty-three percent of the patients visited the hospital within 3 months after the occurrence of the initial symptom, 82% within 1 year and 12% after 3 years from the appearance of initial symptom. 5. Among the 175 patients, 108 (61.7%) had multiple tumors, while 67 (38.3%) had single tumor. Regarding to the origin, 126 (72%) were located at the lateral wall, 110(63%) at the trigone area. 6. On IVP, 84 cases (48%) had normal upper tract and 62 cases (35%) had filling defect in the bladder. 7. On pathologic examination, 159 (91%) were transitional cell carcinoma, 9 cases (5%) were squamous cell carcinoma and 5 cases (3%) were adenocarcinoma and 1 cases (1%) was malignant melanoma. 8. Stage A, B, C, D were 48 cases (27%), 67 cases (38%), 28 cases (16%), 32 cases (18%) respectively by cystoscopic finding, bimannual examination, operation finding, pathological finding and clinical finding. 9. TUC was performed in 76 cases and partial cystectomy in 52 cases with low stage tumors and Bricker`s operation with or without total cystectomy in 47 cases with high stage or multiple low stage tumors that could not be performed TUC or partial cystectomy. 10. 3 years after treatment 27 cases (35.5%) were followed up and 18 cases (66.7%) were survived by TUC, 18 cases (34.6%) were followed up and 11 cases (61.1%) were survived by partial cystectomy and 14 cases (29.8%) were followed up and 6 cases (42.(%) were survived by Bricker`s operation: In conclusion, TUC and partial cystectomy are adequate treatment for low stage bladder cancer and give the patients good quality and length of life, revealed same survival rate as other authors by Bricker`s operation for high stage or multiple low stage bladder cancer.
Adenocarcinoma ; Carcinoma, Squamous Cell ; Carcinoma, Transitional Cell ; Cystectomy ; Female ; Hematuria ; Humans ; Longevity ; Male ; Melanoma ; Middle Aged ; Seoul ; Survival Rate ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urination ; Urology

Femorofemoral bypass was chosen as a primary(n=71) and redo (n=7) procedures for 78 patients with unilateral iliac artery occlusive disease during the period of 4 and a half years at the Department of Surgery, Kyungpook National University Hospital. The patients were categorized into 3 groups according to the patency of the superficial femoral artery on the recipient-side leg and the performance of concomitant leg arterial bypass: Group I (n=34), patent superficial femoral artery (SFA); Group II (n=19), occluded SFA left untreated; Group III (n=25), occluded SFA treated with leg arterial bypass. Adjuvant procedures during the femorofemoral bypasses included 16 femoral endarterectomies, 5 donor-side iliofemoral interposition grafts, and 4 donor-side iliac balloon angioplasties. The primary cumulative patency rates for all femorofemoral bypasses at 1, 2, 3, and 4 years were 96.3%, 84.7%, 84.7%, and 74.2%, respectively calculated by the life table method. The primary patency rates were 90.0%, 62.9%, 62.9%, 62.9% in Group II and 95.7%, 89.5%, 89.5%, 89.5% in Group III at 1, 2, 3, and 4 years after bypass grafting. The statistical analysis with log rank test to compare the patency rates between Group II and III revealed no significant (p=0.2425) differences. In summary, femorofemoral bypass was a durable bypass procedure for the patients with unilateral iliac artery occlusion. Further follow-up is required to confirm the effects of concomitant leg arterial bypass to the patency of femorofemoral bypass.
Angioplasty ; Endarterectomy ; Femoral Artery ; Follow-Up Studies ; Gyeongsangbuk-do ; Humans ; Iliac Artery ; Leg ; Life Tables ; Transplants

Leg length discrepancy in the growing children was developed by multiple causes; such as congenital, infection, traumatic, and mechanical facotrs etc. The discrepancy have been treated by several methods including bony lengthening which is preferable method, but epiphysiodesis also has been one of the valuable methods in which was applied to the treatment of mild to moderate leg length discrepancy in the growing children. We report on patients(15 cases) with leg length discrepancy treated by percutaneous epiphysiodesis since July 1986. There were 8 males and 7 females and the average age of them was 12.6 years old. And we also performed an experimental study which was to find out the effectiveness of the pereutaneous physeal destruction comparing the techningues between curette and drill in the bony models. The causes of leg length discrepancy were trauma in 8 cases and osteomyelitis in 2 cases, congenital dislocation of the hip in 2 cases, poliomyelitis, Legg-Galve-Perthes disease, congenital hemihypertropy in each 1 case. The average preoperative leg length discrepancy was 2.6cm(range:1.9-3.7cm), and average anticipated discrepancy without operation have been 3.7cm(range:2.2-6.3cm) at maturity. The final discrepancy was 0.9cm after 43 months follow-up. According to the result by experimental study, percutaneous epiphysiodesis with curette technique would be more effective and safe than drill thchnique. Percutaneous epiphysiodesis might be one of the useful methods for the treatment of mild to moderate degree of leg length discrepancy in the growing children, and also could be applied combining with bony lengthening for treatment of severe degree of leg length discrepancy.
Child ; Dislocations ; Female ; Follow-Up Studies ; Hip ; Humans ; Leg ; Male ; Methods ; Osteomyelitis ; Poliomyelitis

Unilateral localized hyperhidrosis over scalp and face is an extremely rare disease that usually has undetermined origin. We report a case of idiopathic unilateral localized hyperhidrosis over left scalp and face. A 55-year-old female patient with unilateral hyperhidrosis that is localized in the left side of scalp and face visited our dermatology clinic. She had increased sweating in left face and scalp, recurring in summer for 3 years. She complained of the exacerbation by thermal and gustatory stimuli and exercise. The starch iodine test and digital infrared thermal imaging test revealed a marked increase in sweat gland activity on the affected areas as compared to the contralateral normal sites.
Dermatology ; Female ; Humans ; Hyperhidrosis* ; Iodine ; Middle Aged ; Rare Diseases ; Scalp* ; Starch ; Sweat ; Sweat Glands ; Sweating

BACKGROUND: The perceived risks of blood transfusions are important to be considered in creating a blood service policy. We surveyed the perception of blood transfusion risks among Korean laypeople. METHODS: A one-month nationwide telephone survey was conducted in September, 2007. The questionnaire was designed to assess the demographics of respondents, their responses to the term 'blood transfusion', and the perceived risks of a transfusion. A total of 500 interviews were completed. RESULTS: The words evoked by the term 'blood transfusion' included blood, donation, AIDS, help, and patients. About one third (33.6-35.8%) of the respondents gave a moderate to high rating for the perceived risks of blood transfusions. More than half (55.6%) of the respondents agreed that the blood supply in Korea is safe, and 81.6% of the respondents agreed to be transfused when transfusion is needed. The perceived risk of a blood transfusion was greater in women than in men and in people who never had a transfusion than those who had. More men than women agreed that the blood supply in Korea is safe, and the proportion of respondents who agreed to be transfused when needed was higher in men and in less educated people. The relative perceived transfusion risk (scale of 10) was 4.5+/-2.3. CONCLUSIONS: The Koreans in the survey had a tendency of positive thinking about blood transfusions, and previous transfusion experiences appear to decrease the fear about transfusions. These results will be useful in understanding how Koreans think about the risks associated with transfusions.
Adult ; Asian Continental Ancestry Group ; Blood Transfusion/*psychology ; Demography ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; *Perception ; Questionnaires ; Republic of Korea ; Risk Factors ; Sex Factors

Peripheral neuroepithelioma is a rare tumor, comprising less than 1% of all soft tissue malignancies arising from the peripheral nonautonomic nervous system. Most peripheral neuroepitheliomas reported were located in the extremities, thoraco-pulmonary region, and pelvic areas, and as many as 30% of cases were associated with peripheral nerve. We report one case of peripheral neuroepithelioma arising in the kidney, mimicking renal cell carcinoma on the CT scan.
Adult ; Case Report ; Female ; Human ; Kidney Neoplasms/*pathology ; Neuroectodermal Tumors, Primitive, Peripheral/*pathology ; Peripheral Nervous System Diseases/*pathology