In order to complement and reexamine the recent advances on tinea capitis in Taegu area the author made the clinical and mycological studies on 36, 1961 pupils of 12 primary school in Taegu during the period of August 30, 1961 till October 27. Also a clinical observation of the number of patients with the disease was made on 9, 877 new out-patients of the Kyung-Book University Hospital during the period of January 1957-May 1961 comparing the results of the above studies and 2, 925 colonies of 8 strains which have been reported up to the present date, and the following results were obtained. 1. 146 cases (Boys 141, Girls 5) of tinea capitis out of 36, 914 pupils (Boys 20, 572, Girls 16, 342) were found in the study of 12 primary school pupils in Taegu. 2. The morbidity rate for the boys was 0.72% and 0.03% for the girls. The rate was higher among children of the suburban area, especially in the industrial district, compaired with children of the central area of the city. 3. The morbidity rate in different grades was found highest in the 5th grade and a gradual decline was observed in order of 4, 6, 3, 2, 1 grade. 4. The type of the disease belonged entirely to the superficial derrnatomycosis. 5. 113 strains of Trichophyton ferrugineum out of 146 cases were isolated. 6. 75.26% of successful culture was made which reconfirm the superiority of the culture technique employed in the author's laboratory. 7. Seven cases out of 105 fiuorescent hairs were negative culture, while 15 cases out of 41 nonfluorescent hairs were positive culture. Therefore, a particular attention should be paid in the use of Wood light. The nonfluorescent positive culture hairs found increased compaired with the previous reports. 8. No significant change was observed in the actual number of out-patients with the disease in the University Hospital during the period of January 1957 till May 1961, though a gradual increase in the percentage was noted. 9. In comparison with the geographical distribution of 2, 925 colonies of strains already reported in Korea, the only causative strain of the disease was determined as T. ferrugineum in Taegu city and M. canis which showed an increase during the period of 1957 till 1959 was not isolated in the present study.
Child ; Complement System Proteins ; Culture Techniques ; Daegu* ; Female ; Hair ; Humans ; Korea ; Outpatients ; Pupil ; Tinea Capitis* ; Tinea* ; Trichophyton ; Wood

No abstract available.

No abstract available.
Humans ; Pharmacists* ; Politics* ; Societies, Medical*

No abstract available.
Humans ; Pharmacists* ; Politics* ; Societies, Medical*

Dynamic cardiomyoplasty is a recently introduced surgical method to improve myocardial performance. It consists of a placement of a skeletal muscle flap around the heart and stimulation of the flap in synchrony with ventricular contraction. We experienced a case of cardiomyoplasty in a 25 year old male patient with congestive heart failure. Anesthesia was induced and maintained with fentanyl, midazolam and isoflurane. The operation was performed for 8hrs without cardiopulmonary bypass and the patient was transferred to the intensive care unit. He was mechanically ventilated electively overnight and extubation was done 18hrs postoperatively. The patient was discharged home on the 40days after operation and improved in exercise tolerance. We report the anesthetic management and hemodynamic changes in a patient who underwent dynamic cardiomyoplasty.
Adult ; Anesthesia ; Cardiomyoplasty* ; Cardiopulmonary Bypass ; Exercise Tolerance ; Fentanyl ; Heart ; Heart Failure ; Hemodynamics ; Humans ; Intensive Care Units ; Isoflurane ; Male ; Midazolam ; Muscle, Skeletal

BACKGROUND: Although hypochlorhydria, hypergastrinemia and antiparietal cell antibody have been well documented in the patients with hyperthyroidism, a cause of hypochlorhydria or hypergastrinemia is unknown at the present time. Therefore, in order to clarify an inhibitory mechansim of gastric acid secretion in the patients with hyperthyroidism, interrelationship among hypochlorhydria, hypergastrinemia and antiparietal cell antibody was investigated in this study. METHODS: The gastric secretory function, fasting and postprandial plasma concentrations of gastrin and titer of antiparietal cell antibody in the plasma were determined in the patients with hyperthyroidism and normal subjects. Immunoblot analysis was performed to identify the gastric membrane protein, a possible gastric antigen to antiparietal cell antibody. Using a immunocytochemical technique with electron microscopy, intracellular structure of the parietal cell reacted with antiparietal cell antibody was observed. RESULTS: The basal and pentagastrin-stimulated maximal acid output were reduced in the patients with hyperthyroidism. The fasting and postprandial plasma concentrations of gastrin were markedly elevated in the patients. The plasma gastrin concentration in the patients with the antiparietal cell antibody was higher than that of the norrnal subjects as well as the patients without the antibody not only in the fasting state but also in the postprandial state. However, the plasma gastrin concentration of the patients without the antiparietal cell antibody was elevated in the fasting state only. There was no difference in the gastrin content of the antral mucosa between the norrnal subjects and the patients. The antiparietal cell antibody was detected in 5 (38.5 %) out of 13 patients by using the indirect immunofluorescence method. Patient IgG dose-dependently inhibited rabbit gastric H (+),K (+)-ATPase activity. Among proteins of the rabbit gastric mucosa membrane, four high molecular weight proteins (91, 140, 170 and 210 K dalton) were reacted to the patient IgG. The patient IgG positive peroxidase-antiperoxidase (PAP) activity was electron microscopically detected on the intracellular cannalicular membrane of the parietal cell CONCLUSION: We conclude that hypochlorhydria and hypergastrinemia in the patients with hyperthyroidism are partially related to the antiparietal cell antibody and that the antigen to the antiparietal cell antibody may be H (+),K (+)-ATPase in the intracellular canalicular membrane of the parietal cell.
Achlorhydria ; Fasting ; Fluorescent Antibody Technique, Indirect ; Gastric Acid* ; Gastric Mucosa ; Gastrins ; Humans ; Hyperthyroidism* ; Immunoglobulin G ; Membrane Proteins ; Membranes ; Microscopy, Electron ; Molecular Weight ; Mucous Membrane ; Plasma ; Rabeprazole

This longitudinal study examines the burdens and related factors for stroke patient's primary family caregivers. Sixty-one patients treated for stroke at a general hospital in Chung-nam province and family member caregivers participated in this study from July 28, 1998 to August 1, 1999. Family caregivers' burdens were assessed by the burden scale originally developed by Zarit(1980) and Novak &Geust(1989) and modified by Oh's(1993) for use in Korea. The burden scale instrument consists of five subscales.: financial burden, social burden, physical burden, dependency burden, and emotional burden. Repeated ANOVA and Stepwise multiple regression were used in the data analyses. The results were as follows: The burden mean score was 3.23 in the hospital, 3.26 after hospital release, and 3.27 in the home environment. In the hospital, a patient's degree of cognition, and social support for family caregivers were significant factors affecting the sense of burden felt by family caregivers. After hospital release, the significant factors affecting the sense of burden were the degree to which stroke patients could participate in daily living activities, social support for family caregivers, and changing to a second caregiver. In the home environment, the most significant factor affecting the sense of burden was social support for family caregivers.
Activities of Daily Living ; Caregivers* ; Cognition ; Dependency (Psychology) ; Hospitals, General ; Humans ; Korea ; Longitudinal Studies* ; Statistics as Topic ; Stroke*

No abstract available.
Humans ; Patient Education as Topic* ; Spondylitis, Ankylosing*

Six. patients with clavicular nonunion were treated at the Daegu Catholic Hospital from Aug. 1980 to Jun, 1986. Five patients were male and one was female, and their ages ranged from 35 to 52 years. There were hypertrophic nonunion in four patients and atrophic nonunion in two patients; all six patients had symptoms due to nonunion. Factors that might have influenced the development of nonunion in our cases seem to be inadequate operative treatment, severe trauma and inadequate external fixation due to combined injuries. Five patients were treated with semitubular plating and iliac graft, and one was treated with intramedullary K-wire fixation and iliac graft. All patients achieved good union by average 10 weeks postoperatively and symptoms disappeared. It was concluded that symptomatic nonunion of the mid-clavicle could be treated by operation, and the procedure of choice seemed to be rigid internal fixation with plating applied in compression and bone graft.
Clavicle ; Clinical Study ; Daegu ; Female ; Humans ; Male ; Transplants

In 38 patients with femorsl neck fracture trested at Cstholic Hospital from Aug. 1980 to Jun. 1985, 24 patients were followed for more thsn 2 years. Preoperative bone scanning with 99m Tc MDP was performed in those 24 patients and postoperative follow-up bone scan assesment of the femorsl vascularity was done in 9 patients of them. Following results were obtained. 1 . Tc 99m methylenediphosphonate bone scanning was effective in assesing the femoral head vascularity in the femoral neck fracture patients. 2. The femoral head activity could be changed in the postoperative scanning : there could be further injury to the blood supply during operation or femoral head revascularization after operation 3. Some information about the possibility of future avascular necrosis could be obtained by comparing preoperative and postoperative bone scan in order that early preventive measures might be applied against the late head collapse. 4. It was conculuded that internal fixation should be considered first in the treatment of fresh femoral neck fracture : the indication of head replaement surgery could not be rnade by preoperative bone scan only.
Equidae ; Femoral Neck Fractures ; Femur Neck ; Follow-Up Studies ; Head ; Humans ; Neck ; Necrosis ; Prognosis