A clinical observation and comparision was carried out on 466 cases of meningitis in infancy and childhood : 135 cases of purulent meningitis ; 208 cases of aseptic meningitis, and 123 cases of tuberculous meningitis. They were admitted to Jeonju Presbyterian Medical Center from January, 1973 to December, 1979. The results were as follows; 1) Male to female ratio was 2.1:1 in purulent meningitis, 3.2:1 in aseptic meningitis, and 2.4:1 in tuberculous meningitis. 2) The seasonal peak incidence was Spring and Summer for purulent and tuberculous menigitis and Summer for aseptic meningitis. 3) The most predilectional age which resulted in meningitis was infancy in purulent meningitis, 4 to 12 years o fage in aseptic meningitis and 1 to 4 years of age in tuberculous meningitis. 4) Fever was the most frequent symptom ; and vomiting, convulsion, unconsciousness, and headache followed in that order in the three kinds of meningitis. The most frequent neurologic finding was stiff neck; and Kernig's sign, Brudzinski's sign, and Babinski's sign followed in that order in the three kinds of meningitis. 5) In CSF examination on admission, cell counts were most frequently under 1,000/mm3 in purulent meningitis(49.6%), under 50/mm3 in aseptic menigitis (35.6%) and 100 to 300/mm3 in tuberculous meningitis (52.0%). The sugar level in 74.1% of purulent meningitis and in 84.5% of tuberculous meningitis was under 50mg/dl. In aseptic meningitis the sugar level was over 50mg/dl in 72.6%. The protein level was most frequently 30 to 150mg/dl in all three kinds of meningitis. 6) The mortality rate was 14.1% in purulent meningitis, 0.5% in asepic meningitis and 10.6% in tuberculous meningits. 7) The younger the patient in purulent and tuberculous meningitis, the worse the prognosis. The mortality rate of tuberculous meningitis was 9.1% in stage II and 50% in stage III.
Cell Count ; Female ; Fever ; Headache ; Humans ; Incidence ; Jeollabuk-do ; Male ; Meningitis* ; Meningitis, Aseptic ; Mortality ; Neck ; Neurologic Manifestations ; Prognosis ; Protestantism ; Reflex, Babinski ; Seasons ; Seizures ; Tuberculosis, Meningeal ; Unconsciousness ; Vomiting

No abstract available.
Cushing Syndrome*

No abstract available.
Primary Myelofibrosis*

We have observed 9 cases of juvenile diabetes mellitus who were admitted to Pediatrics Department of Presbyterian Medical Center in Jeon-ju, during period of 7 years and 2 months from Jan, 1974 to Mar, 1981. The following results were obtained. 1) Incidence of juvenile diabetes mellitus was 0.088% of all patients who were admitted to Pediatric Department ward during period of 7 years and 2 months. 2) The highest age incidence was in the age group of 8~9years, and male to female ratio was 7:2 with male preponderance, and seasonal distribution showed high incidence in winter. 3) Cardinal symptoms were polyuria (8case), polydipsia (8case), and general weakness (6 case), weight loss (5 case), polyphaia(3 case), abdominal pain and nausea vomiting (2case), and On examination there were signs of dehydration (6 case), emaciation(3case), abdominal rigidity (2case) in order of frequency. 4) The mean blood glucose level was 468 mg%, and leukocytosis was found in 4 cases of the 9 at admission. 5) Ketoacidosis was noted in 4 cases and the blood glucose level ranged from 417 mg% to 750mg%, and patients received treatment with continuous infusion of low dose insulin. 6) The average duration of hospitalization was 12 days and dosage of insulin needed was 0.8~1.9unit/kg/day. Only one case was followed up and the patients A1c Hgb level was within normal limit.
Abdominal Pain ; Blood Glucose ; Dehydration ; Diabetes Mellitus* ; Female ; Hospitalization ; Humans ; Incidence ; Insulin ; Jeollabuk-do ; Ketosis ; Leukocytosis ; Male ; Nausea ; Pediatrics ; Polydipsia ; Polyuria ; Protestantism ; Seasons ; Vomiting ; Weight Loss

We have observed 9 cases of juvenile diabetes mellitus who were admitted to Pediatrics Department of Presbyterian Medical Center in Jeon-ju, during period of 7 years and 2 months from Jan, 1974 to Mar, 1981. The following results were obtained. 1) Incidence of juvenile diabetes mellitus was 0.088% of all patients who were admitted to Pediatric Department ward during period of 7 years and 2 months. 2) The highest age incidence was in the age group of 8~9years, and male to female ratio was 7:2 with male preponderance, and seasonal distribution showed high incidence in winter. 3) Cardinal symptoms were polyuria (8case), polydipsia (8case), and general weakness (6 case), weight loss (5 case), polyphaia(3 case), abdominal pain and nausea vomiting (2case), and On examination there were signs of dehydration (6 case), emaciation(3case), abdominal rigidity (2case) in order of frequency. 4) The mean blood glucose level was 468 mg%, and leukocytosis was found in 4 cases of the 9 at admission. 5) Ketoacidosis was noted in 4 cases and the blood glucose level ranged from 417 mg% to 750mg%, and patients received treatment with continuous infusion of low dose insulin. 6) The average duration of hospitalization was 12 days and dosage of insulin needed was 0.8~1.9unit/kg/day. Only one case was followed up and the patients A1c Hgb level was within normal limit.
Abdominal Pain ; Blood Glucose ; Dehydration ; Diabetes Mellitus* ; Female ; Hospitalization ; Humans ; Incidence ; Insulin ; Jeollabuk-do ; Ketosis ; Leukocytosis ; Male ; Nausea ; Pediatrics ; Polydipsia ; Polyuria ; Protestantism ; Seasons ; Vomiting ; Weight Loss

Lung Function test results can be influenced by race, socioeconomic status, and physical fitness. The choice of the most appropriate predictive equations should be based upon these considerations as well as age, sex, and body size. About 70% of Korean males smoke, and non-smokers can be a selective group in Korea. In this study, lung function test results of 683 healthy Korean male workers were analyzed to get the predictive equations of Forced Vital Capacity(FVC), Forced Expiratory Volume in 1 second(FEV(1)), and FEV(1)/FVC (FEV(1)%). The age of studied workers ranged from 18to 60, and most of those finished high school or less. Healthy smokers without any respiratory symptoms or disease history were included in the study, while the effect of smoking on the test results were examined in the analysis. FVC, FEV(1), and FEV(1)% were regressed against age, height, weight and smoking status or smoking amount. Age and height explained FVC and FVC(1) most efficiently and the contribution of other variables were not significant. Whereas, smoking was significantly associated with a decrease in FEV(1)% even among healthy un-symptomatic workers. For FEV(1)%, age, height, and smoking amount were significant variables, constituting the most efficient prediction model. The lower limit of normal for percent predicted values was calculated from lower 95 percentile as well as 95% confidence interval. When the results of this study was compared to those from studies of white Caucasians, the predicted FVC and FEV(1) were lower for the given age and height but the differences were less than 10%. The slopes of regression equation for height and age were, however, not significantly different when the social backgrounds of the studied subjects were similar.
Body Size ; Continental Population Groups ; Forced Expiratory Volume ; Humans ; Korea ; Male* ; Physical Fitness ; Respiratory Function Tests ; Smoke ; Smoking ; Social Class

We report on a 28 years old female with recurred cardiac myxomas who presented with dizziness, headache, and blurred vision. She had an excision of biatrial atrial myxomas 10 years age. Varying sized multiple cerebral aneuysms and myxomas in left atrium and left ventricle were found on a cerebral angiogram and echocardiogram, respectively. After wide excision including interatrial septum and part of left ventricular septum, her symptoms were much improved.
Adult ; Dizziness ; Female ; Headache ; Heart Atria ; Heart Ventricles ; Humans ; Intracranial Aneurysm ; Myxoma* ; Ventricular Septum

No abstract available.
Mononeuropathies* ; Systemic Vasculitis ; Vasculitis*

No abstract available.
T-Lymphocytes*

BACKGROUND: Tc-99m tetrofosmin is a recently developed myocardial perfusion agent that has shown promising characteristics, displaying rapid accumulation in and slow clearance from the myocardium with rapid clearance from background organs. Adenosine is relatively safe, direct and potent coronary vasodilator and has been used as a stress agent in myocardial perfusion scintigraphy. We have performed tetrofosmin single photon emisson computed tomography(SPECT) in patients suspected of coronary artery disease. This study was aimed to assess the safety profile and diagnostic accuracy of adenosine Tc-99m tetrofosmin SPECT. METHOD: One hundred forth six patients underwent Tc-99m tetrofosmin SPECT with intravenous adenosine. Four hours after resting Tc-99m tetrofosmin SPECT imaging, adenosine was infused intravenously at a dose of 0.14 mg/kg of body weight per minute for 6 min and Tc-99m tetrofosmin was injected at 3 min after start of infusion. Blood pressure, heart rate and side effects was recorded during and after four minites of adenosine infusion. Forty seven of patients underwent coronary angiography within 2 weeks. RESULTS: Adenosine induced a significant and mild decrease in systolic and diastolic blood pressure at 2 min after start of adenosine infusion and a significant and mild increase in heart were observed in 70% of 146 patients. Chest discomfort(30%), mild dyspea(25%), chest pain(19%), and headach(12%) were common. No serious side effects were observed despite of continuation chest pain and restlessness, respectively. The diagnostic sensitivity for detection of CAD(>/=50% and >/=70% coronary stenosis by coronary angiography) by adenosine Tc-99m tetrofosmin SPECT were sensitivity 92%, 97%, and specificity) were 76%, 79% for LAD, 67%, 67% for LCX, and 73%, 82% for RCA, respectively. Specificities were 92%, 89% for LAD, 100%, 100% for LCX, 92%, and 87% for RCA. CONCLUSION: Adenosine Tc-99m tetrofosmin SPECT appears to be a feasible, safe, highly sensitive and specific test for the diagnosis of coronary artery disease.
Adenosine* ; Blood Pressure ; Body Weight ; Chest Pain ; Coronary Angiography ; Coronary Artery Disease* ; Coronary Stenosis ; Coronary Vessels* ; Diagnosis ; Heart ; Heart Rate ; Humans ; Myocardium ; Perfusion ; Perfusion Imaging ; Psychomotor Agitation ; Thorax ; Tomography, Emission-Computed, Single-Photon*