A study on the sickness distribution and mode of treatment in rural area was conducted during the period from July '75 to Aug. '75 using 1,225 households, 7,918 population (4,017 male, 3,901 female) and 343 cases that found during the period of survey who had been lived in nammyon, Hwasoongun, Chonnam. The summarized results were as follows : 1. Average family number per household was 6.5 and prevalence rate was 43.3 (21.2 for male, 22.1 for female). 2. General sickness distribution by classification of disease according to W.H.O. was highest in disease of the nervous system and sense organs (21.3%), and important others were disease of the digestive system (16.9%) and disease of the respiratory system (14.8%). In male, distribution was in order of downward disease of digestive system, disease of nervous system and sense organs, disease of skin, cellular tissue, bones and organs of movement , and disease of respiratory system. In female, distribution was in order of downward disease of nervous system and sense organs, disease of respiratory system, disease of digestive system, and disease of skin, cellular tissue, bones and organs of movement. 3. Types of treatment in both sexes were showed that home and folkmedicine (41.1%), pharmacy (24.5%), admission to hospital or clinic (16.9%), out-patient clinic (10.8%) ad herbmedicine (6.7%) in downward order. Hospital and clinic utility rate was 27.8% (31.5 for male, 24.0 for female) and it was highest in 0-4 age groups and lowest in 40-49 year age groups. 4. Hospital and clinic utility rate was highest in neoplasms, and the other hands, disease of the nervous system and sense organs and disease of the digestive system were the highest groups in the all types of treatment other than hospital and clinic. 5. On the results of treatment not, exactly replied answer was the highest (41.7%) and only 16.0% said complete recovery, In completely recovered cases, hospital and clinic using group was predominant (58.2%) and in aggravated cases home and folkmedicine using group was highest.
Classification ; Digestive System ; Family Characteristics ; Female ; Hand ; Humans ; Jeollanam-do ; Male ; Nervous System ; Outpatients ; Pharmacy ; Prevalence ; Respiratory System ; Sense Organs ; Skin

Dislocation of the metacarpophalangeal joint of the finger is rare except thumb. We experienced a case of volar dislocation of little finger and 2 cases of dorsal dislocation of index finger. The mechanism of injury seems to be direct trauma to the dorsum of hand with the metacarpophalangeal joint acutely flexed in volar dislocation and the dorsal dislocation is forced the metacarpophalangeal joint into hyperextension. In 1957, Kaplan advocated the triple incision, that is release of the volar fibrocartilageous plate, the natatory ligament, and the superficial transverse metacarpal ligament, exposing the operation field through a palmar approach. The recommended treatment for such very rare injury is open reduction through nalmar approach in dorsal dislocation, and dorsal approach in volar dislocation; the single most important element preventing reduction is interposition of the volar plate within the joint space in dorsal dislocation and the obstacles of volar dislocation are entraped dorsal capsule and partial ruptured extensor tendon. In dorsal dislocation, we advocated only half release of volar fibrocartilage for lessor trauma of soft tissue and reduction was made easily after release of 1/2 volar fibrocartilage. We report this rare and interesting cases with review of literature.
Dislocations ; Fibrocartilage ; Fingers ; Hand ; Joints ; Ligaments ; Metacarpophalangeal Joint ; Tendons ; Thumb

Carcinsarcoma is an uncommon pulmonary malignancy characterized by carcinmatous parenchyma and sarcomatous stroma. The cytologic, immunohistochemical and ultrastructural features of a case of pulmonary carcinosarcoma suspected by fine needle aspiration cytology is presented. Only bizarre spindle cells arranged in loose groups, in microtissue fragments and in a dissociate fashion were present in the aspiration smears. They were markedly positive for vimentin. The epithelial component was not found, which was probably due to marked paucity of carcinomatous component that was proved by histologic examination of the resected tumor. The diagnosis of pulmonary carcinosarcoma should be conidered whenever poorly differentiated epithelial cell groups with a malignant mesenchymal component set in a myxoid background are seen in a pulmonary cytology specimen.
Biopsy, Fine-Needle ; Carcinosarcoma ; Child* ; Diagnosis ; Epithelial Cells ; Humans ; Interleukin-6* ; Nephritis* ; Purpura, Schoenlein-Henoch* ; Vimentin

No abstract available.
Surgery, Plastic*

No Abstract Available.
Gonadotropin-Releasing Hormone* ; Receptors, LHRH*

A girl aged 18 years and 1 month, had a Angle's Class Iff malocclusion, characterized by anterior crossbite, anterior crowding, and constriction from right lower 2nd p emolar to right lower 2nd molar This ~i5 5s patient underwent scaling and 84148 extraction, and multibanded system was placed. After 14 months, anterior crossbite and crowding was corrected, andbothdental arches were improved. After 6 months from debanding, band space disappeared, and any relapse was not detected.
Constriction ; Crowding ; Female ; Humans ; Malocclusion* ; Molar ; Recurrence

Stress fractures have been well documented in the lower extremity. Stress fractures of the upper extremities are uncommon. We report a case of an ulna stress fracture in a 32 year old female non-professional golfer.
Female ; Fractures, Stress ; Humans ; Lower Extremity ; Ulna ; Upper Extremity

The carpometacarpal boss is a bone prominence involving the carpometacarpal joints of the index and long fingers. In 1931 Fiolle described a bone lesion located the dorsum of his right wrist. He initially believed this to be primarily a carpal lesion and then called it a carpe bossu (carpal boss). The cause of the lesion has been thought to be the result either of a childhood fracture, or of an occupational strain or of periostitis secondary to the pull of the extensor carpi radialis brevis tendon insertion. A congenital predisposition, os styloideum, has also been suggested. We experienced three patients possessing a total of five lesions which showed that repeated mechanical stress in four and os styloideum in one were implicated in the etiology of this deformity.
Carpometacarpal Joints ; Carps ; Congenital Abnormalities ; Fingers ; Humans ; Periostitis ; Stress, Mechanical ; Tendons ; Wrist

Since Jaffe first described osteoid osteoma in 1935, it has become a well recognized clinical and pathological entity. The clinical picture is characteristic, the roentgenographic features are usually distinctive, and the pathological findings are unmistakable. Osteoid osteoma is curable by surgical excision. Often, however, a presumtive diagnosis and roentgenographic features, but surgical exploration fails to uncover the nidus. We reported a case of typical pathological specimen, roentgenographic picture and unusual clinical records with long duration and marked muscle atrophy which was hardly differentiated from herniated intervertebral disc or other spinal cord lesions.
Diagnosis ; Intervertebral Disc ; Muscular Atrophy ; Osteoma, Osteoid ; Spinal Cord

After reconstruction of anterior cruciate ligament, increased idameter of femoral or tibia1 bone tunnel has been obsened on plain radiogram. The etiology of radiographic tunnel enlargement is not well understood and the significance of this tunnel enlargement is unknown. This retrospective study reviewed tibial tunnel diameter in 34 cases of anterior cruciate ligament reconstructions. And we evaluated the correlation between the tibial tunnel enlargement and the position of screw fixation, instability, choice of graft, and clinical results at 1 year postoperatively. AII operation was per formed using a single incision technique. After 3 or 4 months and one year after operation, the diameter of tibial tunnel was measured with digital caliper on the plain radiogram. Tibial tunnel sclerotic margins were measured in the level Of medial tibial plateau on the lateral view of knee. Average tunnel enlargement of 3 allografts was 1.62mm and that of 15 autografts was 2.03mm. No significant difference was seen in KT-10000 arthrometer measurements between enlarged group (amount of enlage-ent >+1 S.D) and not-enlarged group (less than +1 S.D). No coelation was present between the increased tunnel diameter and Lysholm score. Cases with 10mm or more vertical distance between the most proximal point of tihial interference screw and the level of m4eial tibial plateau had average 1.15mm tibial tunnel enlargement and cases with less than 10mm vertical distance ha & I average 2.52mm tibial tunne] enlargement;the difference was not significant (P>0.05). The tibial tunnel enlargement was not correlated with position of screw, clinical results, stability of knee. The tibial tunnel enlargement was not caused hy only mechanical factor such as motion of intra-tunnel portion of graft-tendon.
Allografts ; Anterior Cruciate Ligament* ; Autografts ; Knee ; Retrospective Studies ; Transplants