The frequency of the patellar fracture is increasing because of increasing traffic accident & sports activities and its treatment is considered very important because the involvement of the articular surface occurs in most of it. The authors experienced 54 cases of patellar fracture from January, 1979 to October, 1980 at the Department of Orthopedic surgery, Capital Armed Forces General Hospital and the results were as follows. 1. The most fractures were encountered in man of 3rd. decade. 2. Thirty-eight (70.4%) fracture were induced by direct blow and the remainders were induced by indirect violence. 3. The most fractures were stellate, communited fractures (44.4%) and transverse fractures (37%) which mostly occured at the middle portion. 4. The most fractures were treated by conservative method, circumferential wiring, tension band technique and patellectomy, and the result of the tension band technique was superior to other operative methods (shorter immobilization time, rehabilitation time, and wide range of motion of the knee joint and longer midthigh circumference). 5. The rehabilitation period was shorter in the group of immobilization in 10° flexion of knee with cylinder cast than in the group of immobilization in full extension of knee. 6. Skin lacerations, femoral fractures, and tibial fractures were associated injuries, and the superficial infections and peroneal nerve palsy were complicated.
Accidents, Traffic ; Arm ; Clinical Study ; Femoral Fractures ; Hospitals, General ; Immobilization ; Knee ; Knee Joint ; Lacerations ; Methods ; Orthopedics ; Paralysis ; Patella ; Peroneal Nerve ; Range of Motion, Articular ; Rehabilitation ; Skin ; Sports ; Tibial Fractures ; Violence

The Tripamide(Normonal(R)) is a new derivative of nonthiazide diuretic and hypotensive drug which was claimed to have less side effects than thiazide derivatives. Authors studied on the effect of Tripamide in 30 cases of hypertension. The 15mg of Tripamide daily as single dose was given for the period of 6 weeks and in each week, the blood pressure in sitting position was measured and also checked symptoms and side effects. In 13 cases which were not responded to 15mg, daily dose of 30mg were given. In 13 cases, Hb, Hct, blood sugar, serum uric acid, Na, K, Cl, GOT, GPT and creatinine were measured before and after the 6 week medication. Following results were obtained; 1) After one week medication of Tripamide 15-30mg daily, the hypotensive effect(B.P. more than 5 mmHg decrease) appeared in 83.3% of cases in systolic pressure and 76.7% in diastolic pressure. The marked decrease(more than 20 mmHg) of systolic pressure in 60% and of diastolic pressure in 33.3% of cases. The over-all average systolic and diastolic pressure decreased by 18.7/7.6 mmHg. 2) There were no statistically significant changes of Hb, Hct, fasting blood sugar, uric acid, creatinine, sodium, potassium, chloride, GOT and GPT. However there were one case of significant decrease of potassium and increase of blood sugar respectively by 30mg medication. 3) There was no weakness or fatigue by 15mg medication except 2 cases which complained of weakness by 30mg medication and there was no remarkable side effect such as rash. 4) In 6 cases which were refractory to other antihypertensive drugs including hydrochlorothiazide, there was hypotensive effect by switching hydrochlorothiazide to Tripamide. These observations showed that Tripamide(Normonal(R)) has hypotensive effect with 15 to 30mg per day in one week and thereafter the effect was stationary and there was much less side effect such as weakness than thiazide derivatives.
Antihypertensive Agents ; Blood Glucose ; Blood Pressure ; Creatinine ; Exanthema ; Fasting ; Fatigue ; Hydrochlorothiazide ; Hypertension* ; Potassium ; Sodium ; Uric Acid

A case of familial telangiectasia of face resembling lupus erythematosus but no having other involved symptoms, except ichthyosis vulgaris of lower legs in all 4 sisters, appeared on 8 months through 2 years after birth is reported Authors suggest this case to be simplified congenital telangiectasia of face, because of not consisted with preexistiong various diseases such as Bloom's syndrome, Ataxia-Telangiectasia, Rothmund-Thomsons' Syndrome, Dyskeratosis congenita, and Cockayne's syndrome, which show the familial telangiectasia of face.
Ataxia Telangiectasia ; Bloom Syndrome ; Dyskeratosis Congenita ; Humans ; Ichthyosis Vulgaris ; Leg ; Parturition ; Siblings ; Telangiectasis*

The author analyzed 231 patients of congestive heart failure which was confirmed by the clinical symptoms and the laboratory findings among the patients admitted to Ewha Womans University Hospital between the begining of 1974 and the end of 1978. The result were as follow; 1. In sex distribution, the female was predominant. Male to female ratio is 1:2.45. The most common incidence by age group was sixth decade. 2. Regarding the underlying disease, there were hypertensive heart disease(27.3%), post-partum heart disease(19.5%), rheumatic heart disease(16.0%) and arteriosclerotic heart disease(15.6%) in order. 3. The precipitating factors were observed in 77.5% of total cases and the order of frequency was pregnancy and delivery(26.4%), infection(19.1%), arrhythmia(12.6%) and physical exertion(12.1%). 4. On admission, patients usually complained of dyspnea, cough, right upper quadrant pain and the physical examination revealed moist rales, hepatomegaly etc. 5. The laboratory findings were anemia(19.0%), increased E.S.R.(33.8%) and leukocytosis (34.2%). 6. The blood chemistry showed increased level of creatinine(24.5%), S.G.O.T. (20.9%), B.U.N.(20.0%) and decreased albumin(15.5%), increased S.G.P.T.(15.0%) in order. 7. The X-ray films of chest on admission revealed increased vascular marking and pulmonary congestion(85.7%), cardiomegaly(80.0%) and pleural effusion(21.4) etc. 8. The E.C.G. findings showed(205 cases among 231 cases) LVH 56.6%, atrial fibrillation 26.3% etc. 9. The echocardiography perfomed in 59 cases among 231 cases gave valvular heart disease (28.9%), atrial fibrillation (11.9%) arteriosclerotic heart disease(8.5%), ventricular hypertrophy (6.8%) and atrial enlargement(5.1%) in order of frequency.
Atrial Fibrillation ; Chemistry ; Cough ; Dyspnea ; Echocardiography ; Estrogens, Conjugated (USP)* ; Female ; Heart ; Heart Failure* ; Heart Valve Diseases ; Hepatomegaly ; Humans ; Hypertrophy ; Incidence ; Leukocytosis ; Male ; Physical Examination ; Precipitating Factors ; Pregnancy ; Respiratory Sounds ; Sex Distribution ; Thorax ; X-Ray Film

The author analyzed 231 patients of congestive heart failure which was confirmed by the clinical symptoms and the laboratory findings among the patients admitted to Ewha Womans University Hospital between the begining of 1974 and the end of 1978. The result were as follow; 1. In sex distribution, the female was predominant. Male to female ratio is 1:2.45. The most common incidence by age group was sixth decade. 2. Regarding the underlying disease, there were hypertensive heart disease(27.3%), post-partum heart disease(19.5%), rheumatic heart disease(16.0%) and arteriosclerotic heart disease(15.6%) in order. 3. The precipitating factors were observed in 77.5% of total cases and the order of frequency was pregnancy and delivery(26.4%), infection(19.1%), arrhythmia(12.6%) and physical exertion(12.1%). 4. On admission, patients usually complained of dyspnea, cough, right upper quadrant pain and the physical examination revealed moist rales, hepatomegaly etc. 5. The laboratory findings were anemia(19.0%), increased E.S.R.(33.8%) and leukocytosis (34.2%). 6. The blood chemistry showed increased level of creatinine(24.5%), S.G.O.T. (20.9%), B.U.N.(20.0%) and decreased albumin(15.5%), increased S.G.P.T.(15.0%) in order. 7. The X-ray films of chest on admission revealed increased vascular marking and pulmonary congestion(85.7%), cardiomegaly(80.0%) and pleural effusion(21.4) etc. 8. The E.C.G. findings showed(205 cases among 231 cases) LVH 56.6%, atrial fibrillation 26.3% etc. 9. The echocardiography perfomed in 59 cases among 231 cases gave valvular heart disease (28.9%), atrial fibrillation (11.9%) arteriosclerotic heart disease(8.5%), ventricular hypertrophy (6.8%) and atrial enlargement(5.1%) in order of frequency.
Atrial Fibrillation ; Chemistry ; Cough ; Dyspnea ; Echocardiography ; Estrogens, Conjugated (USP)* ; Female ; Heart ; Heart Failure* ; Heart Valve Diseases ; Hepatomegaly ; Humans ; Hypertrophy ; Incidence ; Leukocytosis ; Male ; Physical Examination ; Precipitating Factors ; Pregnancy ; Respiratory Sounds ; Sex Distribution ; Thorax ; X-Ray Film

No abstract available.
Korea*

No abstract available.
Nephrotic Syndrome*

Three cases of sclerosing stromal tumor of the ovary are presented. All three patients were nulliparous young wemen of 23~25 years of age, presenting with menstrual irregularity for 6 months to 4 years. Grossly the tumors ranged in size from 8 to 22cm in greatest diameter, showing gray white to yellow solid or predominantly cystic tissue with serous fluid. The common microscopic finding was that of cellular areas admixed with densel fibrous and/or edematous tissue, presenting pseudolobular appearance. Two types of tumor cells were rounded cells with clear vacuolated cytoplasm and less numerous spindle shaped cells. Postoperative course was uneventful and menstrual irregularity disappeared postoperatively. In case 2, the patient got pregnant after 1 year and 4 months. This clinical course suggests that sclerosing stromal tumor of the ovary may be endocrinologically active.
Pregnancy ; Female ; Humans

No abstract available.
Aldosterone* ; Child* ; Humans ; Nephrosis, Lipoid*

No abstract available.
Child* ; Cytarabine* ; Cytosine* ; Doxorubicin* ; Humans ; Leukemia, Myeloid, Acute* ; Maintenance Chemotherapy* ; Remission Induction* ; Thioguanine*