The authors present 31 patient with acute epidural hematoma who had been admitted from January, 1987 to June. 1989 managed by consevative treatment. The results were as follows ; 1) The age of patients was distributed evenly, most patients were male (26 cases) and the most common mechanism of injury was traffic accidents(14 cases). 2) Sites of hematoma were mostly the temporal and parietal area and the maximum thickness of hematoma was not different from each site. 3) On admission, all patients presented GCS score above 13 except 2 cases. 4) All patients did not undergo delayed up, due to the enlargement of the hematoma or neurological deterioration. 5) The maximum thickness of hematoma was under 20 mm in all patients. 6) The hematoma was resolved within 30 days in all cases. This was confirmed with brain CT scan.
Brain ; Hematoma* ; Humans ; Male ; Rabeprazole ; Tomography, X-Ray Computed

The acetabular angles were measured in 2 groups of selected 100 infants and children each, of whom one group aged 14 months and younger and the other group aged 15 months of 5 yrs. and who were proved to be normal by all the physical examination and whose acetabular angles were below 40 according to Coleman's diagnostic criteria. The measurements were broken down into right and left, and male and female because of the known difference in the incidence of CDH in 2 members of each of these paired categories and analysed statistically. The following statistic significances resulted: l. All the measured normal acetabular angles vary between 10 and 31 degrees. 2. The acetabular angles decrease after weight bearing by the statistical significant difference between 0-14 mo. group and 15 mo-5yr. group. The angles are 22,61±3,47 (M±S,D) and 18.68±3.64 (M±S.D) respectively. 3. The acetabular angles of female of 15mo.-5yr. group are higher than male by the statistical significant difference. The angles are 17.77±3.54 (M±S.D) and 20.18±3.29 (M±S.D) respectively. 4. Statistical significant differences were absent between right and left.
Acetabulum ; Child ; Female ; Humans ; Incidence ; Infant ; Male ; Physical Examination ; Weight-Bearing

No abstract available.
Arthritis, Rheumatoid* ; Humans

No abstract available.
Tenosynovitis*

No abstract available.
Lipodystrophy*

No abstract available.
Animals ; Autoimmunity* ; Mice*

Fournier's gangrene is a polymicrobial necrotizing infection of the perineal, genital or perianal regions. It is commonly associated with chronic alcoholism, diabetes, immunosuppression or chemotherapy for malignant disease and occurs rarely in female. Rapid progression to sepsis and consequent organ failure may occur if clinical diagnosis or surgical intervention is delayed. The present case is a 40-year-old female with presumptive anal fissure while she underwent anti-cancer chemotherapy for breast carcinoma. She died suddenly in the hospital without knowing any probable cause of death. Through the autopsy, necrotizing inflammation of pelvic soft tissue and suppurative peritonitis were noted. The author presents the clinical feature of the case and the autopsy findings with literature review.
Adult ; Alcoholism ; Autopsy ; Breast ; Cause of Death ; Female ; Fissure in Ano ; Fournier Gangrene ; Humans ; Immunosuppression ; Inflammation ; Peritonitis ; Sepsis

In the forensic practice, the reliability of diatom test as a supportive measure to diagnose drowning is still disputed, from trustworthy to worthless. Some of the reason for the controversy is low sensitivity of the test, possibility of postmortem contamination and the detection of diatom in the tissues of non-drowned body. However, there is a variation of the diatom flora by season and by locale and it is strongly correlated with the frequency of positive diatom test outcomes. Therefore, if there is a profile of the diatom flora at a site, it can be compared with the diatom genera found in tissues of the immersed bodies, and also the test result can be predicted or verified. On each season, at three aquatic locations where drowning victims are often found, the author collected water samples and examined the plankton species of the samples, including dominant species and total number of plankton by site and by season. The examination result showed 16 species of diatoms, 20 species of green algae, 6 species of cyanobacteria, and 6 species of other algae. There is an enormous difference of population of algae by site(39 cells ~ 37,180 cells), but conspicuous periodicity of types and numbers of algae is not noted by season and by depth.
Chlorophyta ; Cyanobacteria ; Diatoms ; Drowning ; Periodicity ; Plankton ; Seasons ; Water

Xanthogranulomatous cholecystitis is a rare form of inflammatory disease of the gall bladder and was first described in 1970 by Christensen and Ishak as fibroxanthogranulomatous inflammation of the gall bladder. Recently authors experienced three cases of xanthogranulomatous cholecystitis, two of which were erroneously diagnosed as malignant tumor in preoperative clinical and radiological examinations. Grossly, the gallbladders were enlarged and the walls were thickened with yellowish granular necrotic areas ranging from a few millimeters to 1.0 cm in diameter. Microscopically, all of three cases showed diffuse infiltration of the foamy histiocytes containing bile pigments and mononuclear leukocytes associated with fibroblastic proliferation and foreign body reactions. The pathogenesis of the xanthogranulomatous cholecystitis is uncertain, but opinion favours an inflammatory response to extravasated bile probably, from ruptured Rokitanky-Aschoff sinuses. Three cases of xanthogranulomatous cholecystitis with brief review of literature are presented.

No abstract available.
Infant, Newborn ; Meconium Aspiration Syndrome* ; Meconium* ; Mortality ; Suction*