A case of postradiation sarcoma, found in a 52-year-old woman, who underwent a total hystrectomy under the diagnosis of cervical cancer 12 years ago, followed by radiation therapy. The tumor invasion was extensive involving the left innominate bon and upper end of the left femur including the head and neck. Histopathological findings revealed sarcomatous change with atypical osteoid formation and stromal proliferation. The case has been followed for 2 years since February 1974 and survives today.
Diagnosis ; Female ; Femur ; Head ; Humans ; Middle Aged ; Neck ; Osteosarcoma ; Pelvic Bones ; Sarcoma ; Uterine Cervical Neoplasms

No abstract available.
Spine*

No abstract available.
Alcoholics* ; Humans

Injuries in the industries has been steadily increasing in this country in recent years. Injuries in the industries intricate in accoriance with the industrial environment, mechanism of injuries and the other factors of employees. In 6 years 201 patients with industrial injuries underwent treatment in the Department of Orthopaedic Surgery of the National Medical Center, and the result of treatment is reported in this paper. 1. 70 cases out of 201 cases were in the age group between 21 to 30 year. 186 cases were male and 15 were female. The incidence is remarkably higher in male. 2. In 80 cases the injuries were caused by machinery with pressor parts. The patients were chiefly manual workers in factories. 3. Of 280 injuries, 148 (62.8%) were upper extremities, 105 (37.5%) were lower extremities and 27 (96%) were trunks. The most common site of injuries was hand. 4 Of 146 injuries with fractures, 94 were treated by manual reduction and cast, and 52 were treated by open reduction. 5. Treatment for open wounds was debridement followed by delayed primary closure and/or skin graft. The primarily closed open wounds by local clinics were observed and treated according to wound condition. 6, 17 cases out of 22 phalangeal bone fractures were treated by manual reduction and splint. 5 cases were treated by K-wire internal fixation, among them 3 cases had to be treated by amputation. 7. Incidence of early camplication was considerably high with 137 sites out of 280 sites and the late complication was 79 sites after treatment of the early complications.
Amputation ; Debridement ; Female ; Fractures, Bone ; Hand ; Humans ; Incidence ; Lower Extremity ; Male ; Skin ; Splints ; Transplants ; Upper Extremity ; Wounds and Injuries

No abstract available.
Pregnancy* ; Purpura*

No abstract available.
Humans ; Hypersensitivity* ; Skin*

A retrospective review of 14 patients treated non-operatively or operatively for burst fractures of the low lumbar spine(L4-L5) between January 1992 and December 1997 was performed. Burst fractures of the low lumbar spine are rare and have not been well delineated in the literature. Average follow-up period for fourteen patients was 10.6 months. Ten patients were men and four were women. The average age at injury was 36.8 years(range 17-70 years). Seventy-one percent of the injuries were the result of fall from height and 29% were the result of motor vehicle accidents. Non-operatively treated six patients were presented with minimal canal compromise and minimal or no initial neurological deficit. They were treated 4-6weeks of bed rest before they were allowed to mobilize with orthosis. None of these patients had any significant complications. If patients showed neurological impairment associated with significant canal compromise or vertebral height loss, they were treated operatively to restore spinal stability and spinal height and also to decompress neural elements. Various types of combined surgical approaches were used for eight patients who met these criteria. Among these, two were treated in a staged fashion with the anterior transperitoneal approach done initially. Vertebrectomy and complete neural decompression in direct vision was possible and interbody fusion was performed using Mesh cage, which was filled with bone collected from sites of vertebrectomy. This combined approach seems to be the choice of procedure for complete decompression and interbody fusion of the low lumbar burst fracture(L4-L5) with severe canal compromise and vertebral height loss. Transperitoneal approach for the low lumbar vertebrectomy has advantage of less muscular damage compared to retroperitoneal approach. There were no major complications from surgery in the present series.
Bed Rest ; Decompression ; Female ; Follow-Up Studies ; Humans ; Male ; Motor Vehicles ; Orthotic Devices ; Retrospective Studies ; Spine

PURPOSE: The purpose of this study was to explore perception of the clinical learning environment, resilience and perfectionism in relation to practice burnout and to identify factors influencing practice burnout in student nurses. METHODS: A descriptive correlational study was conducted. The participants were 313 student nurses from three universities in B and U city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient, Scheffés test and multiple regression analysis. RESULTS: Mean score for practice burnout in student nurses was 2.92 out of 5 points. Practice burnout explained 44.7% of the variance in perfectionism (β =.245, p<.001), satisfaction with college life (β =.232, p<.001), resilience (β =−.228, p<.001), clinical learning environment (β =−.193, p<.001), satisfaction with major (β =.180, p=.001), practical relationships with peers (β =.128, p=.005), and satisfaction with clinical practice (β =.124, p=.039). CONCLUSION: Research results suggest that the important variable for student nurses' practice burnout is perfectionism. Therefore education is needed to develop strategies to manage perfectionism and reduce practice burnout.
Education ; Humans ; Learning ; Students, Nursing

No abstract available.
Dinoprost* ; Female ; Laparoscopes* ; Pregnancy ; Pregnancy, Tubal*

No abstract available.
Lymphangioma* ; Orbit*