These clinical and mycological observations were made on 898 cases of tinea facisle diagnosed by the clinical findings and KOH exsmination among the 137,197 out-patients exsmined for five years from Jaunary 1981 to December 1985 at Chilgok Catholic Skin Clinic, Taegu, Korea. Following results were obtained: 1. The annual number of patients with tinea faciale was 159(0.75% of the total outpatients) in 1981, 174(0.56%) in 1982, 181(0.67%) in 1983, 181(0.67%) in 1984,and 203 (0.83%) in 1985. 2. Of the 898 patients, male patients numbered 395 and female 503. Although the age distribution of patients was highest under age 14 in both sexes, males outnumbered females slightly before age 19 and, as age advanced, female predominance became more marked. 3. Of the 898 patients, 7Z6 organisms composed of 5 species were isolated. The species isolated were in the order of decreasing frequency, Trichophyton(T.) mentagrophytea (296,40.8%), Microsporum(M.) canis (218,30.0%), T. rubrum (189,26.0%), M. gypseam (21,2.9%), and Epidermophyton floccosum (2,0.3%). 4. M. canis was the chief cause of tinea faciale in children under 14. The infection due to T. mentagrophytes and M. canis outnumbered T, rubrum markedly in the young age group before 14, but T. rubrum predominated in the middle age group from 20 to 29. In the old age group after 40, T. mentagrophytes reappeared as a major cause of the disease. 5. T. mentagrophytes predominated in rural area and M. cania in urban area but no sexual variation was found. T. rubrum and M. gypseum prevailed slightly more in urban areas than in rural areas. 6. Eczematous annular ringworm (without central clearing) types were seen most frequently in the cases cssed by T. menagrophytes and clsssic ringworm types were seen most frequently in the cases caused by M. cania 7. Coexistent fungal infections were chiefly T. corporis in the csses of T. mentagrophytes and M. canis, but T. pedis and T. unguium in the cases of T. rubrum. 8. As a result of mating studies, 177 strsins of T. mentagrophytes proved to be Arthroderma vanbreuseghemii (51 of the "+" mating type and 126 of the "-"mating type), 12 strains of M. gypseum proved to be Nannizzia(N) incurvata (4, "-" and 8,"-") and 4 proved to be N. gypsea (2, "+" and 2, "-" ).
Age Distribution ; Arthrodermataceae ; Child ; Daegu ; Epidermophyton ; Female ; Humans ; Korea ; Male ; Middle Aged ; Outpatients ; Skin ; Tinea*

No abstract available.

Information and communication are very important to emergency medicine and large part of recent developments emergency medicine is related to them. So future development of emergency medicine is supposed to be based on information and communication system. Since 1994, hypertex-based multimedia information called World Wide Web has been served in the internet and east access has been allowed. Many researches about medical application of internet has been done, but articles of this application are mainly about medical information collection or use of electronic mail, and no application to specific part of medicine was suggested. So in this article, possibilities and range of application of internet and information super-highway to emergency medicine, suggestion of using internet to emergency phisician, prediction of the future of emergency medicine in relation to information super-highway will be presented. (continue)
Electronic Mail ; Emergencies* ; Emergency Medicine* ; Internet* ; Multimedia

BACKGROUND: Infiltration of the skin and subcutaneous tissue with local anesthetic solutions may cause transient pain and discomfort. Heating local anesthetic solutions to body temperature has been suggested as a way of reducing the pain associated with injection. We designed a double blind crossover volunteer study to investigate the effect of warming lidocaine on the pain associated with subcutaneous injection. METHODS: Participants were 40 healthy adult volunteers,22 years of age and older, and they were the medical, nursing stay and medical students. They underwent 1ml subcutaneous injections of the study agent through 25-gauge needles. Following a standard crossover protocol, 'room temperature' lidocaine(20degrees C ) was injected into one midvolar forearm and body temperature' lidocaine(37degrees C ) into the opposite arm. Pain assessed by visual analogue pain scores and 'volunteer's comparison of pain on injection. RESULTS: Twenty-six volunteers thought that lidocaine at 20degrees C was more painful and four thought that lidocaine at 37degrees C was more painful, ten volunteers did not express a difference. Median pain score for injection at 20 degrees C was 37 and at 37 degrees C was 35.5. Difference of two median scores was 6.5. CONCLUSION: The simple procedure of warming to body temperature reduced the pain associated with subcutaneous injection of lidocaine. It is an inexpensive and practical method That should be considered for routine use in the ED.
Adult ; Arm ; Body Temperature* ; Forearm ; Heating ; Hot Temperature ; Humans ; Injections, Subcutaneous ; Lidocaine ; Needles ; Nursing ; Skin ; Students, Medical ; Subcutaneous Tissue ; Volunteers

The authors report the experience of twenty patients of transpedicular Zielke instrumentation after anatomical reduction of the spondylolisthesis. Anstomical reduction was done with the aid of temporary application of Harrington distraction rod, and the reduced segment was fixed with transpedicular Zielke instrumentation. And, anterior interbody fusion was supplemented in a single stage operation. Follow up period was between 13 to 25 months after operation with the average of 19 months. 1. The age of the patients was 38 years in average ranging from 11 to 61 years. 2. Types of the spondylolisthesis were spondylolytic type in 11 cases, degenerative type in 6 cases, dysplastic type in 1 case and pathologic type in 2 cases. 3. The level of the lesion were L5-Sl in 12 cases, L4-5 in 7 cases and L3-4 in 1 case. 4. Pre-operative clinical feature included low back pain in 95%, radiating pain in 65%, and neurological claudication in 45%. 5. The average percentage of slippage was changed from 24% preoperatively to 6% postoperatively and to 8% at the final follow up. The initial correction rate was 75% and the amount of correction loss during the follow up period was 11% in average. 6. Slip angle was changed from 3°preoperatively to −3°poetoperatively and to 0°at the end of follow up. In the 12 cases with local kyphosis, average slip angle of 14°preoperatively was improved to 2°postoperatively, and to 7°at the end of follow up. 7. Bony fusion was obtained in 19 cases within 4 to 6 months. 8. There were 2 cases of metal failure with considerable loss of reduction ; one patient with pathologic spondylolisthesie due to active tuberculous spondylitis required re-operation and another patient showed fusion eventually in the redisplaced position. Other complication included 1 transient dysuria, 1 ileus and 2 meralgia paresthetics. 9. Clinical symptoms were improved in 95%. Follow up result of the operation according to Gill's criteria were excellent 65%, good 25%, fair 5%, and poor 5%.
Dysuria ; Follow-Up Studies ; Humans ; Ileus ; Kyphosis ; Low Back Pain ; Spondylitis ; Spondylolisthesis

In recent years the rate of the spine frecture tends to be on the increase year by year as the rate of traffic and industrial accidents are increased. Realignment of the displaced vertebral column should be achieved for two reasons. It provedes better neural decompression than a laminectomy in most instances and permits stabilization of the axial skeleton in a position of function. One hundred and nine thoraco-lumbar spine fractures and fracture-dislocations out of 102 patients were evaluated from January, 1972 to December, 1977 in our study. 1. Out of the 102 patients, there were 89 male and 13 female cases. The ratio between male and female was 6.8: 1. The majority(77.1%) of the spine fractures was found in the age group of 20 to 50 years. 54.2% of the cases was caused by industrial accident. 2. The most Common site of the lesion occured between T 12 and L 2 vertebrae (82.6%) and the simple anterior wedge fracture (69.7%) was most common. 3. Thirty one cases of the total were complicated by paraplegia, of which 77.4% was caused by rotational fracture-dislocation and most common site of the lesion was between T 12 and L 2 vertebrae (93.8%). 4. Prognosis for neurological recovery in initially complete lesions was poor, regardless of treatment. About 10% of initially complete lesions showed partial neural recovery compared to 62.5% of initially incomplete lesions. 5. All 6 patients on bladder training with intermittent catheterization became catheter free within 3 months.
Accidents, Occupational ; Catheterization ; Catheters ; Clinical Study ; Decompression ; Female ; Humans ; Laminectomy ; Male ; Paraplegia ; Prognosis ; Skeleton ; Spine ; Urinary Bladder

No abstract available.
Gonadotropins* ; Oocytes*

No abstract available.
Arachidonic Acid* ; Ear, Middle* ; Humans* ; Otitis Media with Effusion*

No abstract available.
Meningioma* ; Optic Nerve* ; Orbit*

Although anterior fusion has several advantages in the management of fracture-dislocations of cervical spine than posterior methods, it has not been used in common. Because, it does not give sufficient stability to prevent the dislodgment of the graft and angular deformity and it requires prolonged rigid external immobilization. In order to promote the stability and to reduce the external support, authors have fixed with plate and screws in anterior spine fusion for various type of fracture-dislocations of cervical spine, and report the results of 29 consecutive cases. Minimum follow-up period was 6 months (Av. 12mos.). Two level fixation after anterior decompression by corpectomy was done in 7 cases. Ambulation was started from the day after operation with aid of orthosis, regardless of the neurological status. Bone union was observed in all, but one expired case, within 2–3 months. There was no failure in fixation and no worsening in neurology. Improvement of neurological status were observed in 17 patient during and follow up periods of treatment, among 23 patient with neurological symptoms on arrival. The observed complications of hoarseness(2 csses), dysphagia(2 cases) and Horner's syndrome(1 case) were improved later, but the patient with pneumonia was expired one month after operation. It is concluded that the procedure is a safe and better alternative for the fracture-dislocations including flexion injury between C2-T1, because it provides good stability, rapid union, short external support and possibility of neural decomprssion.
Congenital Abnormalities ; Decompression ; Dislocations ; Follow-Up Studies ; Humans ; Immobilization ; Neurology ; Orthotic Devices ; Pneumonia ; Spine ; Transplants ; Walking