No abstract available.
Hemorrhage* ; Varicose Veins*

No abstract available.
Endoscopy, Digestive System*

No abstract available.

No abstract available.
Pancreaticoduodenectomy*

No abstract available.

No abstract available.

Malignant fibrous histiocytoma has recently become an established diagnosis for some tumors that arise in the musculo-skeletal tissue. But it contains areas that resemble with osteosarcoma, fibrosarcoma, the microscopic lesions are composed of interlacing bands of fibroblast, bizzare histiocytes and multinucleated giant cells, arranged in storiform pattern. At present, the treatment advocated for malignant fibrous histiocytoma has been total surgical removal and radiation therapy. A case of malignant fibrous histiocytoma affecting the proximal tibia is reported with brief review of literature.
Diagnosis ; Fibroblasts ; Fibrosarcoma ; Giant Cells ; Histiocytes ; Histiocytoma, Malignant Fibrous ; Osteosarcoma ; Tibia

Many different methods have tried for the treatment of fractures of the calcaneus in order to search for better results. But there was no general agreement on the treatment of the fracture of the calcaneus, especially involving the subtalar joint. Thirteen displaced intra-articular fractures of the calcaneus(in eleven patients) were treated by open reduction and internal fixation with a plate and screws, or Steinmann pins using a lateral and when needed, a medial approach, followed by early motion. From Feb. 1985 to June 1987, 13 feet in 11 patients of calcaneal fractures involving the subtalar joint were treated by open reduction and internal fixation at the Dept. of Orthopedic Surg., Chonbuk National University Hospital and the results were ss follows : l. Of 11 patients, 9 patients were male and 2 were femsle. 2. The main cause of frscture of calcaneus wss a fall from a height in 81.8% of cases. The spine fractures were associsted in 3 patients. 3. Of these displaced intra-articular frsctures, 3 fractures were tongue type and 9 fractures were joint depression type by Essex-Lopresti classificstion. 4. The tongue type fractures were treated with Steinmann pin and joint depression type fractures were treated with plate and screws. Anatomic reduction was obtained by open reduction snd internal fixation. 5. The average Bohler's angle was 8.1 before reduction and the aversge bohler's angle was 22.1 after open reduction. So, Bohler's angle was 14 increased. 6. After sverage seventy-two months follow-up, the assessment of result by Salama was satisfied in 76.9%-excellent in four(30.8%), good in six(46.1%)-and unsatisfied in 23.1%-fair in two(15.4%), poor in one(17.7%). 7. The surgical approach was used usually lateral approach and, when needed, a medial approach, followed by early motion. 8. The most common complication after treatment was pain on the heel snd subtalar joint.
Calcaneus ; Depression ; Follow-Up Studies ; Foot ; Heel ; Humans ; Intra-Articular Fractures ; Jeollabuk-do ; Joints ; Male ; Orthopedics ; Spine ; Subtalar Joint ; Tongue

Controversy persists regarding the abnormality of the bone metabolism in various bone diseases. Osteocalcin, the vitamin K-dependent protein synthesized in bone, has been shown to be a specific and sensitive marker of bone turnover in metabolic bone diseases. The author measured the serum osteocalcin level using newly developed radioimmunoassay (RIA) in the patients with osteogenesis imperfecta, metastatic bone tumor, postmenopausal osteoporosis and rheumatoid arthritis, which can be the causes of osteoporosis, and ankylosing spondylitis. The aim of this paper is to demonstrate the value of the osteocalcin measurement comparing the each data of disease group with the normal control group. The results were as followings ; 1. The mean of osteocalcin in normal Korean was 4.43±1.04 ng/ml. (4.45±1.08 ng/ml in male, 4.41±1.01 ng/ml in female). The difference between male and female was not significant statistically. 2. The osteocalcin of osteogenesis imperfects was 9.14±2.21 ng/ml, which was significant statistically, And it was thought to be the result of increasing bone turnover rate and the osteocalcin was useful as biochemical marker. 3. In metastatic bone tumor, osteocalcin was under the normal level in both untreated and treated groups, which meant low bone turnover rate or low osteoblastic activity. Osteocalcin was not a useful marker for the assessment of the effect of treatment in this study, but if the radioimmunoassay was done in the same tumor group, a valuable results could be expected. 4. Osteocalcin level in the patients with postmenopausal osteoporosis and rheumatoid arthritis was not different with normal control group and osteocalcin was not useful marker for the evaluation of the degree of osteoporosis and bone turnover. 5. Osteocalcin didn't play a role in the pathologic ossification of ankylosing spondylitis. In conclusion, the osteocalcin by radioimmunoassay can be used as a biochemical marker in metabolic bone diseases and metastatic cancer for the disgnosis and the assessment of prognosis or the effect of treatment.
Arthritis, Rheumatoid ; Biomarkers ; Bone Diseases ; Bone Diseases, Metabolic ; Bone Remodeling ; Female ; Humans ; Male ; Metabolism ; Ossification, Heterotopic ; Osteoblasts ; Osteocalcin ; Osteogenesis ; Osteogenesis Imperfecta ; Osteoporosis ; Osteoporosis, Postmenopausal ; Prognosis ; Radioimmunoassay ; Spondylitis, Ankylosing ; Vitamins

PURPOSE: This study was designed to explore the attitudes of physicians and nurses. METHOD: Attitudes were measured by using the korean version of the SADP(Scale of Attitudes toward the Disabled Persons : Choi, G. H., & Lam, C. S., 2000). A korean version SADP consist of 24-item, six-point Likert-type scale(the points are -3, -2, -1, +1, +2, +3, where -3 is disagree very much and +3 is Agree very much), measuring general attitudes toward people with disabilities. The sample included 90 physicians, 114 nurses at a university hospital in Busan. The data were collected using questionnaires, and were analyzed using frequency, percentage, mean score, standard deviation, t-test and one-way ANOVA. RESULT: When studying the physicians group by itself, SADP scores tended to increase with women physicians, old age, married, higher educational level, more years of experience, medical unit. When studying the nurses group by itself, SADP scores tended to increase with the age of thirty, single, educational level, more years of experience, surgical unit. But not to a statistically significant degree. CONCLUSION: Findings suggest that the nurses had significantly higher score than the physicians(t=-4.63, p<.001). When studying the physicians group and the nurses group by itself, not to a statistically significant degree.
Busan ; Disabled Persons* ; Female ; Humans ; Physicians, Women ; Surveys and Questionnaires