Using the APCHE III tool, this study was about the factors related to the death of ICU-patients. From 1999. 12. 1 to 2000. 9. 30, the 284 patients admitted to ICU at P university who were over 15 years of age were selected for the subjets. The data was analyzed through SPSS WIN program for frequency, percentile, x2-test, t-test and logistic regression. The results are summarized as follows: 1) Of the 284 patients, 88died. The mortality is 31.0 percent. The average APACHE III point was 48.62 +/- 32.32. The average point of non-survivors was higher than that of survivors. 2) There are the significant difference between APACHE III marks and mortality. The mortality rate were over 50 percent 60 points of the mark. When the marks were over 100 points, the mortality were over 90 percent. Below 40 points, the mortality was below 10 percent. Among the variables in the APACHE III, the most significant variables in explaining death were neurologic abnormalities, pulse, PaO2/ AaDO2, creatinine, sodium, glucose, chronic health state and age. According to the variables, the models explained the 42.43 percent of the variance in patient's death. In conclusion, the APACHE III tool can be used to predict the progress of ICU patients, and can also be used for the selection of patients for ICU admission/discharge criteria.
APACHE* ; Creatinine ; Glucose ; Humans ; Logistic Models ; Mortality ; Sodium ; Survivors

Morphometric variables of the corneal endothelial cells and central corneal thickness were evaluated in 12 neovascular glaucoma eyes and 12 normal contralateral eyes. Cell area and density was 611.50 micrometer2, 2,065 cells/mm2 respectively in neovasualar glauloma eyes and 441.33 micrometer2, 2,313cells/mm2 respectively in normal contralateral eyes and there were no significant diffeernce between two groups (p>O.1). Hexagonality was 55.69% in neovascular glaucoma eyes and 62.01 % in normal contralateral eyes and the decrease in hexagonality in the former was statistically significant (P0.05). It can be concluded that neovascular glaucoma induces morphological changes of the corneal endothelial cens which might bring corneal edema.
Corneal Edema ; Endothelial Cells* ; Glaucoma, Neovascular*

Morphometric variables of the corneal endothelial cells and central corneal thickness were evaluated in 12 neovascular glaucoma eyes and 12 normal contralateral eyes. Cell area and density was 611.50 micrometer2, 2,065 cells/mm2 respectively in neovasualar glauloma eyes and 441.33 micrometer2, 2,313cells/mm2 respectively in normal contralateral eyes and there were no significant diffeernce between two groups (p>O.1). Hexagonality was 55.69% in neovascular glaucoma eyes and 62.01 % in normal contralateral eyes and the decrease in hexagonality in the former was statistically significant (P0.05). It can be concluded that neovascular glaucoma induces morphological changes of the corneal endothelial cens which might bring corneal edema.
Corneal Edema ; Endothelial Cells* ; Glaucoma, Neovascular*

PURPOSE: Nerve root compression from spinal stenosis or herniated intervertebral disc(HIVD) may affect bladder function by the disease itself, operation or inappropriate general postoperative care. Preoperative urodynamic study seems to be needed for differential diagnosis of postoperative bladder dysfunction. MATERIALS AND METHODS: Thirty three patients diagnosed as nerve root compression were analysed for urodynamic features prospectively and classified into type I(hyporeflexic, hyposensitive, normal sphincter and hypocontractile, high compliance), type II(hyperreflexic, hypersensitive, normal sphincter and hypocontractile, low compliance), type III(hyperreflexic, hypersensitive, normal sphincter and hypercontractile, low compliance) and normal. Correlation with voiding symptoms, duration of the disease and urodynamic findings was evaluated. RESULTS: The mean age of patients was 56.2 years(29-80 years old), including 21 men and 12 women. Among thirty three patients, 21 had spinal stenosis and twelve patients were diagnosed as HIVD. Urodynamically, there were 16 cases(48.5%) showing type II, 6 cases(18.2%) for type I and 2 cases(6%) for type III. Normal finding was shown in 9 cases(27.3%). No significant difference was shown in mean duration of disease and in urodynamic findings. Patients with voiding symptoms or abnormal urodynamic finding were 20 cases(60.6%) and 24 cases(72.7%), respectively. Among thirteen patients without voiding symptoms, eight patients(61.5%) had abnormal urodynamic findings. CONCLUSIONS: Voiding symptoms and urodynamic findings in patients with nerve root compression were various. Because there is no consistent pattern of dysfunction with any type of nerve root compression disease, preoperative urodynamic study seems to the cornerstone for rational therapy and gives the exact information of bladder function to orthopedic operator.
Diagnosis, Differential ; Female ; Humans ; Male ; Orthopedics ; Postoperative Care ; Prospective Studies ; Radiculopathy* ; Spinal Stenosis ; Urinary Bladder ; Urodynamics*

Atherosclerotic heart disease is a major source of cardiovascular morbidity and mortality in adult populations. To assess the prevalence of anatomical and functional abnormalities of the heart in such patients, we studied total 50 subjects with atherosclerotic heart disease by echocardiography and compared with 27 control subjects. We found significant change(p<0.05) of aortic root dimension, left ventricular mass, mitral valve E-F slope, E-point septal separation, and functional measurements show significant change in ejection fraction and fractional shortening of left ventricle. Characteristically, abnormal septal movement reveals in 70% of patients including paradoxical, flat & diminished, hyperactive motion, and among them paradoxical movement is the most frequent. Also left ventricular posterior wall movement is abnormal in 30% of the patient group. The prevalence of echocardiographic abnormalities is 80 percentile of total, which include 30 percentile subjects with only echocardiographic abnormalities without abnormality in 12-lead ECG, chest X-ray and laboratory findings. And these abnormalities can be detected well by echocardiography before they were otherwise apparent.
Adult ; Echocardiography* ; Electrocardiography ; Heart Diseases* ; Heart Ventricles ; Heart* ; Humans ; Mitral Valve ; Mortality ; Prevalence ; Thorax

Hypertrophic osteoarthropathy, known as Marie-Bamberger's Disease, is characterized by bone and joint changes and clubbing of the fingers and toes. It is well known to occur after longstanding disease of the thorax and intestines. The authors have tried to find patients with hypertrophic osteo-arthropathy in cases with pure silicosis and silscosis complicated by pulmonary tuberculosis. but failed. Recently, the authors discovered 3 cases of hypertrophic osteoarthropathy among some patients with pulmonary tuberculosis. All had had a long history of pulmonary tuberculosis, at least over 1 year duration.
Fingers ; Humans ; Intestines ; Joints ; Silicosis ; Thorax ; Toes ; Tuberculosis, Pulmonary

No abstract available.
Nevus*

No abstract available.
Child* ; Giant Cell Tumors* ; Giant Cells* ; Humans ; Tendons*

The diagnosis of scrotal tumors in children can be challenging because of the rarity, vague symptoms, and varied imaging features of the tumors. The pathology and frequency of scrotal tumors that occur in children are different from tumors that arise in adults. In this pictorial essay, we illustrate the imaging findings of scrotal tumors in children with pathological correlations. In addition, we present the clinical manifestations that are valuable for a differential diagnosis. Familiarity with the imaging findings and clinical manifestations of pediatric scrotal tumors may be helpful in making an accurate diagnosis and providing proper patient management.
Adult ; Child ; Diagnosis, Differential ; Humans ; Recognition (Psychology)

PURPOSE: To determine the characteristics of benign breast calcifications on mammogram. MATERIALS AND METHODS: Benign breast calcifications on mammograms of 25 patients, which were confirmed by needle localization and excisional biopsy(15 cases), cytology(1 case), or follow-up study(9 cases), were retrospectively analysed according to size, shape, number, distribution, and density. RESULTS: The size of benign breast calcifications was uniform in 4 cases (16%), and variable in 21 cases (84%). The shape of calcifications was round or oval in 18 cases(72%), linear or branching pattern in 6 cases (24%), and irregular in 1 case(4%). The number of calcifications was 2-5 in 7 cases(28%), and over 6 in 12 cases(48%). The distribution of calcifications was focal in 13 cases(52%) and diffuse in 12 cases(48%). The density of calcification was homogenous in all 25 cases(100%). CONCLUSION: Analysis of number, shape, size, and distribution is helpful for the diagnosis of benign breast calcifications. However the homogenous density of the calcification is suggested to be the most helpful criterion for the diagnosis of benign breast calcifications.
Breast* ; Diagnosis ; Follow-Up Studies ; Humans ; Needles ; Retrospective Studies