No abstract available.
Facial Nerve* ; Paralysis*

Antiseptics are substances that kill or prevent the growth of microorganisms when applied to living tissue. They must be effective against microorganisms but must also retain their activity in presence of body fluids without being harmful locally or systemically. Among many antiseptics, Betadine(R) has been widely used because of its low toxicity and high germicidal efficacy. We reported 2 cases of allergic contact dermatitis to Betadine(R) in surgical patients. They had eczematous eruption along the Betadine(R) applying sites. Path tests Betadine(R) confirmed the diagnosis.
Anti-Infective Agents, Local ; Body Fluids ; Dermatitis, Allergic Contact* ; Diagnosis ; Humans

The microform cleft lip is the mildest expression of cleft lip and nose deformity, but it has no specific definition, classification, and few methods have been reported for its correction. It is characterized by deformity of the nostril, skin striae of the upper lip, notching of peaked Cupid's bow, deformity of the vermilion, and anomaly of the upper lateral incisior and alveolar ridge on the affected region. Sixty-three microform cleft lip patients were operated on between Dec. 1993 and Sep. 1998 in our department(29 males and 34 females). The age of the patients ranged from 5 months to 30 years(Mean 9 years). We classified and treated the microform cleft lip as follows: Class I: Cleft lip nose with very slight lip deformity Class II: Minimal lip deformity without vermilion notching Class III: Mild lip deformity with slight vermilion notching. The goals in the correction of a microform cleft lip are to obtain an esthetically pleasing upper lip and nose, and to reestablish muscle continuity for improved function. To attain these goals, we used the above classification and satisfactory results were obtained by treating the microform cleft according to the classification.
Alveolar Process ; Classification* ; Cleft Lip* ; Congenital Abnormalities ; Humans ; Lip ; Male ; Microfilming* ; Nose ; Skin

PURPOSE: To analyze the characteristies of traumatic brainstem injury by CT and MR MATERIALS AND METHODS: CT and MR studies of 10 patients with traumatic brainstem lesion in MR were retrospectively reviewed, particularly attended to location, signal intensity and associated lesions. RESULTS: CT failed to depict 8 of 10 brainstem lesions. All lesions were detected in MR images with T2-weighted images showing higher detection rate (n=10) (100%) than Tl-weighted images (n=3) (30%) or CT (n=2) (20%). The brainstem lesions located in the dorsolateral aspects of the rostral brainstem(mid brain and upper pons)in 7 (70%) cases, in ventral aspects of rostral brain in 2 (20%) cases and in median portion of pons in 1 (10%) case. Corpus callosal (n=5), Iobar white matter(n=5) diffuse axonal injury, and 2 hemorrhagic lesions in basal ganglia were the associated findings. CONCLUSION: MR imaging is more helpful than CT in the detection of brainstem injury, especially T2 weighted images. Primary brainstem lesions were typically located in the dorsolateral aspect of rostral brainstem(midbrain and upper pons). Corpus callosum and white matter lesions were frequently associated.
Basal Ganglia ; Brain ; Brain Stem* ; Corpus Callosum ; Diffuse Axonal Injury ; Humans ; Magnetic Resonance Imaging ; Pons ; Retrospective Studies

No abstract available.
Angiography ; Arterial Occlusive Diseases ; Lower Extremity

No abstract available.
MicroRNAs* ; Myocytes, Smooth Muscle* ; Vascular Diseases*

We are to report a case of cerebral fat embolism for presenting with unconsciousness without any respiratory dysfunction after intramedullary nailing for femur and tibia fractures. A sixteen-year-old boy was involved in motorcycle accident. His consciousness was alert. He had closed shaft fractures of left femur and left tibia and underwent standard femoral and tibial nail insertions. During the operation, there was no change of vital signs and saturation of oxygen. The consciousness was stuporous after the surgery. The brain CT was normal, but multiple high-signal intensity lesions in T2-weighted and diffusion-weighted images were found at bilateral cerebral hemispheres, corpus callosum, and pons. He woke up on postoperative day 12 and recovered to speak fluently without any neurological deficits at 3 months later. MR image should be recommended if the patient is not neurologically stable after the surgery for lone-bone fractures.
Brain ; Cerebrum ; Consciousness ; Corpus Callosum ; Embolism, Fat* ; Femur* ; Fracture Fixation ; Fracture Fixation, Intramedullary* ; Humans ; Magnetic Resonance Imaging ; Male ; Motorcycles ; Oxygen ; Pons ; Stupor ; Tibia* ; Unconsciousness ; Vital Signs

We are to report a case of cerebral fat embolism for presenting with unconsciousness without any respiratory dysfunction after intramedullary nailing for femur and tibia fractures. A sixteen-year-old boy was involved in motorcycle accident. His consciousness was alert. He had closed shaft fractures of left femur and left tibia and underwent standard femoral and tibial nail insertions. During the operation, there was no change of vital signs and saturation of oxygen. The consciousness was stuporous after the surgery. The brain CT was normal, but multiple high-signal intensity lesions in T2-weighted and diffusion-weighted images were found at bilateral cerebral hemispheres, corpus callosum, and pons. He woke up on postoperative day 12 and recovered to speak fluently without any neurological deficits at 3 months later. MR image should be recommended if the patient is not neurologically stable after the surgery for lone-bone fractures.
Brain ; Cerebrum ; Consciousness ; Corpus Callosum ; Embolism, Fat* ; Femur* ; Fracture Fixation ; Fracture Fixation, Intramedullary* ; Humans ; Magnetic Resonance Imaging ; Male ; Motorcycles ; Oxygen ; Pons ; Stupor ; Tibia* ; Unconsciousness ; Vital Signs

BACKGROUNDS: The purpose of this study is to clarify therapeutic efficacy of percutaneous vertebroplasty(PVP) using polymethylmethacrylate(PMMA) for the osteoporotic compression fractures of the spine and to define the complications following the procedures. METHODS: The authors retrospectively analyzed the clinical outcome of 51 consecutive patients with recent osteoporotic compression fractures undergone PVP between January, 2000 and December, 2001. We reviewed medical records, radiographic findings, and telephone questionaires. The clinical outcomes were categorized by visual analogue scale(VAS). RESULTS: The mean age of the patients was 70.2 years old(range, 60~84) and the male/female ratio was 9:42(17.6%:82.4%). Mean duration of symptom was 2.75 months(0.25~12). Mean follow up periods were 12.2 months(5~27). Among the 63 treated segments, most of them were thoracolumbar junction(69.8%, 44/63) and treated via bipedicular route(bipedicular/unipedicular: 47/16). Thirty-eight patients showed complete or partial relief of pain(82.6%). Age, sex, duration of symptom, number of involved segments, and approach(uni-/bipedicular) had no statistical significance to clinical outcome. Nonetheless leakage of acrylic cement was noted in 37 patients(72.5%), most of them were asymptomatic. The complications were 4 symptomatic leakages(4 transient radicular pain), 1 pulmonary embolisms, and 1 fractured acrylic cement. CONCLUSION: PVP using PMMA is a minimally invasive, safe and effective treatment modality providing primary stability and prompt pain relief for the osteoporotic vertebral compression fractures. As most of the complications are related with leakage of acrylic cement, preoperative CT scan, vertebral phlebography and fluoroscopic guidance are mandatory as well as cautious injection of adequate amount of PMMA.
Follow-Up Studies ; Fractures, Compression* ; Humans ; Medical Records ; Phlebography ; Polymethyl Methacrylate ; Pulmonary Embolism ; Retrospective Studies ; Spine ; Telephone ; Tomography, X-Ray Computed ; Treatment Outcome* ; Vertebroplasty*

In the summer of 1969 from July through October, authors carried out a study of susceptibility in adult female bed bug(Cimex lectularius) in order to ascertain any development of resistance to insecticides in Korea. The test to DDT and Dieldrin was performed in laboratory by the continuous exposure of residues method, with standard impregnated paper used for adult mosqitoes. Some results so far obtained can be summarised as follows: LC(50) were 2.839% in DDT and 0.167% in Dieldrin. The resistance has been arisen 2.4-2.9 times in DDT and 1.6-2.4 times in Dieldrin as compared with London laboratory strain, but they were susceptible 1.4 times in DDT and 180 times in Dieldrin as compared to Israel resistance strain.
parasitology-arthropodology-bed bug-Cimex lectularius ; prevention ; chemotherapy ; resistance ; DDT ; dieldrin