No abstract available.
Spine* ; Transplants*

No abstract available.
Elbow Joint* ; Elbow*

No abstract available.
Paralysis* ; Radial Nerve* ; Tendon Transfer* ; Tendons*

No abstract available.
Fractures, Comminuted* ; Radius*

Arthroscopic unterior cruciate ligament reconstructions using bone-patelia tendon-bone have been considered the best method by which others are compared. The notchyplasty is one of the important steps of this procedure and it is emphasiz,ed recent]y to prevent retear of the reconstrucled ACL causecl by impingement. However, until now, there is controversy ahout adequate amount of notchyplasty. Also, it is hard to examine the adequacy of notchyp]asty even in the aithroscopic field. The purpose of this paper is to describe the surgical technique of notchyplasty, using the flexible reamer and preliminary result of this procedure. In this study the results of ACL:reconstruction with notchyplasty which is made hy us were analized from January,1994 to December,1995. The results were as follows; 1. The notchyplasty with flexible reamer is the method tbat can be performed adequate amount of removal, and he obtained perfectly smooth notchplasty. 2. The range of motion of the affected knee joint was normal ROM after ppst operation 6 month. 3. In the last follow up, 2 cases were positive in anterior drawer test, 4 cases were positive in Lachmanns tesl., and Case was positive in Pivot shift test. 4. Average Lyshnlm knee scoring scale was 70 points al preoperative and 92 points at the last follow up.
Follow-Up Studies ; Knee ; Knee Joint ; Ligaments ; Range of Motion, Articular

No abstract available.
Spine* ; United Nations*

Lipomas of the heart are benign neoplasms and have rarely been described. Due to the fact that they normally cause no symptoms, diagnosis is often purely accidental. Because of the rarity of these tumors, it seems worthwhile to present an example studied at autopsy. It was associated with the sudden death of a 15-year-old boy. The tumor arose from the wall of the left ventricle and occupied the pericardial cavity, measuring 13x7x6 cm in size. The tumor was whitish-yellow, translucent, and soft. Microscopically, the tumor was composed of mature adipose tissue which extended between muscle fibers. This current case, the giant cardiac lipoma is believed to produce disturbances of the conduction system and distrubances of cardiac filling.

No abstract available.
Cyclosporine* ; Humans ; Vitiligo*

We describe an ovarian mucinous cystadenocarcinoma with a sarcoma-like mural nodule. In the literature, rare cases of ovarian mucinous tumors have been described which contain foci of undifferentiated carcinoma, sarcoma, and sarcoma-like nodules. The distinction between these lesions is important because of poorer prognosis of true sarcoma and anaplastic carcinoma than sarcoma-like mural nodules. This case shows different results of immunohistochemical stain for anaplastic carcinoma.

The purposes of this study was to analyze the operational difference of foodservice center for homebound elderly by the presence of the dietitian. The questionnaire was developed to measure all variables for menu management and distributed to 103 meal service centers in charge of congregate meal service program and 57 centers for home-delivered meal service program. The data of 160 centers in charge of congregate meal service and home-delivered service centers were usable for analysis. Statistical data analysis was completed using the SAS 8.1 package program for descriptive analysis and chi-square test. Only 21.9% meal service centers had dietitians, what is more, they were not professionals who did menu management but foodservice managers, volunteers, cook or social workers. The current foodservice programs for the homebound elderly were operated without professional. In the part of menu managemet, dietitians were more actively involved in menu planning in the elderly foodservice center in the presence of the dietitians. The performance level of healthcare service was not significantly different, but the nutrition education in the elderly foodservice center with the dietitians was more frequently performed than that without the dietitians(p<0.05). In the food purchasing and food production management, the significant differences were shown that in the elderly foodservice centers in the presence of the dietitians, the proportion of the contract purchasing was significantly higher than that of direct purchasing(p<0.01). In food sanitary management, the significant differences were not shown in the part of management of keeping meal for identifying the cause of food-borne illness and left-over, but the sanitation education for the foodservice employees was performed more frequently by the presence of the dietitians(p<0.01). In conclusion, the foodservice management was more systematically conducted in the elderly foodservice centers in the presence of the dietitians than that without dietitians. The elderly foodservice program has offered the health-related support for homebound elderly. Although there were several problems in elderly foodservice management, the program delivered well-targeted, effective, and efficient nutrition services and wide range of supportive service to the at-risk older population. It needs to be managed by professional for the improvement in the elderly foodservice.
Aged* ; Data Interpretation, Statistical ; Delivery of Health Care ; Education ; Humans ; Meals ; Menu Planning ; Nutritionists* ; Surveys and Questionnaires ; Sanitation ; Social Workers ; Volunteers