No abstract available.
Abscess* ; Fistula*

To build and to manipulate clinical data in one of the important works in the hospital. In order to accurately append the data and to quickly find and display the informations as the user need, we developed a software program running on the personal computer. Our system largely consists of four parts; registration of the clinical and departmental data, retrieving tool of articles in the medical journal, collection of special data for clinical survey and display system of the various reports. In our experiences, we consider the key factors for systemic management of clinical rearch data base as the follows; work analysis for data processing, design of data base, coding and classification of basic data and technique of registeration. Of these standarized coding system of the orthopedic diseases appeare to be of it most importance.
Classification ; Clinical Coding ; Humans ; Microcomputers ; Orthopedics ; Running

No abstract available.
Leiomyoma* ; Vagina*

OBJECTIVES: In an attempt to identify the demographic characteristics and the factors influencing long-term hospitalization of chronically mentally-ill patients, a survey on the chronically mentally-ill patients who had been staying longer than 1 year in mental health facilities was conducted. METHODS: Checklist including some demographic data that were regarded as independent variables was applied to 3,477 subjects through administration system of Pusan Metropolitan City. Statistical analyse were done using distribution-free, non-parametric tests. RESULTS: 1)Subjects who had been staying longer than 1 year were 70.7% of the total inpatients of mental health facilities, and median duration of their hospitalization was 5.5 years. 2)In mental hospitals and asylums, the ratio of chronically mentally-ill subjects to the total inpatients in each facilitiy was 46.3% and 95.1%, respectively. 3)All of the 10 independent variables had an influence on the hospitalization duration. CONCLUSIONS: These results indicated that many indirect, extramedical factors had an influence the long-term hospitalization of chronically mentally-ill patients, and it is likely to reflect the underdevelopment of mental health services in Korea.
Busan ; Checklist ; Hospitalization ; Hospitals, Psychiatric ; Humans ; Inpatients ; Korea ; Mental Health Services ; Mental Health*

This is a case report of double primary malignant cancer occurred aynchronously in the stomach and lymphoid tissue, We report this case with review of literatures about the criteria, age distribution, predisposing factor, inidence, immunity and susceptibility of the primary malignant neoplasms. This case was a 59-year-old man who had Hodgkins disease and tubular adenocarcinoma, of the stomach. The diagnoais was verified histologically, Although multiple primary neoplaas are rare, the possibility of that must be conaidered seriously, And its hereditary predisposition and other predisposing factor muat be researched with enthuaiasm.
Adenocarcinoma ; Age Distribution ; Causality ; Hodgkin Disease ; Humans ; Lymphoid Tissue ; Middle Aged ; Stomach

The condition of anomalous nerve root is rare. The authors are reporting a case of conjoined nerve root anomaly associated with lumbar disc herniation in a 36-year-old male who was transferred from another hospital. A standard hemilaminectomy with a discectomy had been performed under the disgnosis of the L4-5 lumbar disc herniation at the other hospital. However symptoms were not relieved. During a second surgery at our hospital, a L5-S1 conjoined nerve root was discovered after removal of the extradural hematoma at the previous laminectomy site, a medial facetctomy with a foraminotomy were carried out and the conjoined root was decompressed completely. The patient returned to work 2 months postoperatively with complete relief of symptoms.
Adult ; Diskectomy ; Foraminotomy ; Hematoma ; Humans ; Laminectomy ; Male

Total anomalous pulmonary venous confluence(TAPC), a rare cyanotic congenital anomaly of the heart especially in adult, is now diagnosed by echocardiography instead of cardiac catheterization with high sensitivity and specificity. The key points are identification of pulmonary veins, pulmonary venous confluence draining anomalously to the heart. RVDVO on M-mode, abnormal echo free space posterior to left atrium on 2D-echo are basic characteristics of TAPVC. Peak velocity and flow profile measurement on the doppler provide additional informations : obstruction and anomalous vessels. A case of 23 year old male with supracardiac type TAPVC diagnosed by echocardiography was corrected successfully by surgery.
Adult* ; Cardiac Catheterization ; Cardiac Catheters ; Echocardiography* ; Heart ; Heart Atria ; Humans ; Male ; Pulmonary Veins ; Sensitivity and Specificity ; Young Adult

We analyzed 62 cases of intracranial AVM treated in the department of neurosurgery of Soonchunhyang University Hospital during the period from January 1984 to May 1994. The results are summarized as follows: 1) The ratio of male to female was 1.58 : 1 and 44 cases(71%) were distributed under the age of forty, with a peak incidence in the 2nd and 4th decade. 2) Forty five patients(72.6%) experienced symptoms due to spontaneous intracerebral/intraventricular hemorrhage, and the next most common symptom was seizure in 9 patients(14.5%) 3) Intracerebral hemorrhage(ICH) was the most common cause of symptoms, constituting 90.4% of intracranial hemorrhage. Among the patients with intracerebral hemorrhage, the size of AVM nidus was less than 3cm in 70.2%, between 3cm to 6cm in 27.7%, and over 6cm in 2.1%, respectively. 4) Ten(58%) of the patients presenting with over 30cc of ICH had the AVM located in the eloquent area. 5) The most common location of AVM was the supratentorial subcortical region, especially the parietal lobe(33.9%). 6) Forty five patients were managed surgically, and the operative mortality was 2.2% and significant morbidity, 24.4%. 7) As for surgical intervention, total excision of AVM was carried out in 33(73.3%), partial excision in 10(22.2%), and only arterial feeder clipping in 2(4.4%). The lower the Spetzler grade of AVM, the better the surgical result and the postoperative outcome. 8) Postoperative neurological deterioration was noticed in 3 of 33 cases(9%) in the group of total excision of AVM, and their causes were cerebral edema and normal perfusion pressure break-through. 9) The clinical outcome of surgical management for AVM was superior than that of conservative treatment(p<0.01).
Brain Edema ; Cerebral Hemorrhage ; Female ; Hemorrhage ; Humans ; Incidence ; Intracranial Arteriovenous Malformations* ; Intracranial Hemorrhages ; Male ; Mortality ; Neurosurgery ; Perfusion ; Rabeprazole ; Seizures

The authers report a case of spontaneous lumbar epidural hematoma in a 16-year-old boy who developed lumbago, paraparesis and gait disturbance over a six-day period. Metrizamide myelography and CT demonstrated the extradural mass lesion at the L3-4 level. MRI revealed a hyperintense mass on T1-weighted and T2-weighted sequences and it enabled to make diagnosis of epidural hematoma. The patient had full postsurgical recovery. We concludes MRI is the most helpful diagnosis modality for spinal epidural hematoma.
Adolescent ; Decompression, Surgical ; Diagnosis ; Gait ; Hematoma* ; Hematoma, Epidural, Spinal ; Humans ; Low Back Pain ; Magnetic Resonance Imaging ; Male ; Metrizamide ; Myelography ; Paraparesis

OBJECTIVES: To find work related factors affecting perceived fatigue among male metal product assemblers. METHODS: The study subjects were metal product assemblers from three metal product companies (476 car parts assemblers, 610 car engine assemblers, 454 ship engine assemblers). From the total of 1,540 subjects, 1,136 (73.8%) were included and 38 respondents with insufficient replies were excluded. Associations between fatigue score and other variables (general characteristics, job related factors, workload, job stresses) were investigated in terms of the concept of multidimensional fatigue construct by self administered questionnaire. Using MFS (Multidimensional Fatigue Scale), JCQ (Job Content Questionnaire), and Borg's scale, we estimated the fatigue, job stress, and workload, respectively. Fatigue score was estimated by 'sum of fatigue' in MFS. Associations were tested by linear regression analysis using SAS v.8.0. RESULTS: In this study, the fatigue related factors were older age, longer working hours per week, higher workload, higher job demand, lower decision latitude, and lower supervisor support. CONCLUSIONS: Prolonged working hours, higher workload, higher job demand, poor supervisor support and lower decision latitude were fatigue related factors among the male metal product assemblers of this study.
Data Collection ; Fatigue* ; Humans ; Linear Models ; Male* ; Questionnaires ; Ships