No abstract available.
Tibial Fractures*

An epidemiologic study on diabetes mellius in 13,152 primary school children(6,378 boys 6,765 girls, 9,302 Kwanju-city pupils 3,850 farming area pupils) had been performed in the areas of Kwangju-city, Hwasun-gun from December, 1976 to June, 1977. At first, Diastix was used for detecting glucosuria in one to two hourpostprandial urine and pupils who showed even 0.1% sugar in urine were considered for glucosuria. Children with glucosuria were given the oral glucose tolerance tests using 1.75gm of glucose per kg body weight. Chemical diabetes was diagnosed the cases whose blood sugar values 1 hour after glucose loading were over 170mg/dl and 2 hours after glucose loading over 120mg/dl. Cases which met only one criteria were applied to cortisone-primed oral glucose tolerance test according to the method of Fajan and Conn. If the bolld sugar value 1 hour after glucose administration was over 180mg/dl and the sugar balue 2 hours after glucose administration was over 140mg/dl, suspected diabetes was diagnosed. The results were obtained as follows : 1) The overall positive rate of glucosuria was 0.167%(22 of 13,152 cases). Male pupils showed 0.188%(12 of 6,387 cases) and female pupils 0.148(10 of 6,965 cases), and pupils in Kwangju-cith 0.161%(15 of 9,302 cases) and those in farming area 0.182%(7 of 3,850 cases). 2) 13 of total 22 pupils with glucosuria revealed abnormality in glucose tolerance(59.1%). 3) Of 13 children with abnormal glucose tolerance, 3 were overt diabetes(23.1%), 6 were chemical diabetes(46.2%) and 4 were suspected diabetes(30.8%). 4) The overall pervalence rate of diabetes mellitus was 0.099%, consisting of 0.125% in boy and 0.074% in girl, and consiting of 0.086% in school school children of Kwangju-city and 0.130% in those of farming area. 5) Of 13 children with abnormal glucose tolerance, 12 children were in the age group of 10 years and over 10 years.
Blood Glucose ; Body Weight ; Child* ; Diabetes Mellitus* ; Epidemiologic Studies* ; Female ; Glucose ; Glucose Tolerance Test ; Humans ; Male ; Pupil

We report a case of xanthelasma palpebrarum (XP) with bilateral extensive and disfiguring involvement of all four eyelids. The patient was a 28-year-old woman and noticed this condition eight years ago. Physical examination showed yellowish flat topped bilateral extensive plaques around the eyes. Laboratory result was remarkable for a decrease of a serum high density lipoprotein cholesterol (HDL-C). Other laboratory findings were within normal limits. Histopathologic findings showed diffuse infiltrations of foamy cells, histiocytes and foreign body giant cells in the dermis. Electronmicroscopic examination showed that the dermal infiltrate was composed of lipid laden histoncytes showing multiple villi which indicated an activated state of histioncyte. Bilateral and extensive XP is very rare. Only two cases have been reported in the literatures as far as we know.
Adult ; Cholesterol, HDL ; Dermis ; Eyelids ; Female ; Giant Cells, Foreign-Body ; Histiocytes ; Humans ; Physical Examination

No abstract available.
Femoral Neck Fractures* ; Femur Neck* ; Femur* ; Fracture Fixation, Intramedullary*

No abstract available.
Lower Extremity*

BACKGROUND: Primary hyperhidrosis is the disease of production of exessive sweat which is mainly localized in palm, sole, and axilla, treatment of the disease is usually accomplished with topical 20% aluminum chloride solution, an iontophoretic device, and surgery(sympathectomy) being reserved for recalcitrant cases. OBJECTIVE: We have compared the therapeutic effects with each treatments for hyperhidrosis using a skin surface hydrometer. METHODS: Thirty six patients(11 ; male, 25 ; femlale) with primary hyperhidrosis were evaluated in this study. Nineteen patients used topical 20% aluminum chloride solution, 10 patients used iontophoretic device, and 7 patients in recalcitrant cases. had sympathectomy. We have measured the conductance on the stratum corneum of the palm and sole suing skin surface hydrometer before and after treatment every weeks for a month. the control group were composed of healthy 10 males and 2 females. RESULTS: 1) In the patients of primary hyperhidroisis the conductances of palm, sloe and axilla were higher than that of control group(P<0.01). 2. There was a marked reduction of conductance after the treatment for one week by topical 20% aluminum chloride solution, an lontophoretic device, and sympathectomy(P<0.01). 3. After 2-4 week of treatment by the change obsetved after treatment for one week. 4. By iontophoretic device, there was a slight increasement of conductance of the palm after 2-3weeks of treatment. 5. We obseved a sustained decrease in the conductance by sympathectomy into 4 week. CONCLUSION: Topical 20% aluminum chloride solution, iontophoretic device, and sympathectomy were effective for treatment of hyperhirosis. Among hem sympathectomy showed the best effect. We observed that the skin surface hydrometer is useful to evaluate of the efficacy of the treatment.
Aluminum ; Axilla ; Female ; Humans ; Hyperhidrosis* ; Male ; Skin* ; Sweat ; Sympathectomy

Neoplasms of the adrenal cortex are rare in children. Some of them are functioning malignant neoplasms. Two girls with variable degree of virilization and Cushing's sydnrome and a boy with only Cushing's syndrome, which were due to functioning adrenocortical tumors, were presented. All iesions were found in the left adrenal gland. Two of them were histologically adrenocortical calcinoma. There was no histological evidence of malignancy in the oter one in spite of considerable increasing of 24hrs urinary 17 kerosteroid excretion. A review of literature was also made.
Adrenal Cortex ; Adrenal Glands ; Child ; Cushing Syndrome ; Female ; Humans ; Male ; Virilism

No abstract available.
Metatarsal Bones* ; Osteogenesis, Distraction*

To build and to manipulate clinical data in one of the important works in the hospital. In order to accurately append the data and to quickly find and display the informations as the user need, we developed a software program running on the personal computer. Our system largely consists of four parts; registration of the clinical and departmental data, retrieving tool of articles in the medical journal, collection of special data for clinical survey and display system of the various reports. In our experiences, we consider the key factors for systemic management of clinical rearch data base as the follows; work analysis for data processing, design of data base, coding and classification of basic data and technique of registeration. Of these standarized coding system of the orthopedic diseases appeare to be of it most importance.
Classification ; Clinical Coding ; Humans ; Microcomputers ; Orthopedics ; Running

Twenty-six cases of fracture of the femur and tibia on the same leg were treated in Masan Koryo General Hospital during the period 1981 1986. We studied all of these patients, divided by four groups according to the method of treatment, retrospectively with analysis of treatment and end results. The results were as follows : 1. Twenty-two patients were male and four patients were female. Of twenty-six patients, eighteen patients were at their third and fourth decades. 2. The main cause of injuries was traffic accident; 23 patients(88%). 3. The most common concomitant injury was fracture and dislocation in other site(14 cases). The fat embolism developed in one case and one patient had died due to head injury. 4. The average healing time of fracture was 17 weeks in femur and 20 weeks in tibia in group three, that was most rapid of all groups. 5. A good or excellent functional result was achieved in 87% of the patients treated with internal fixation of both fracture, 75% of the patients with internal fixstion for the femur fracture and external fixation for the tibial fracture, and 25% of the patients trested conservatively.
Accidents, Traffic ; Clinical Study ; Craniocerebral Trauma ; Dislocations ; Embolism, Fat ; Female ; Femur ; Hospitals, General ; Humans ; Leg ; Male ; Methods ; Retrospective Studies ; Tibia ; Tibial Fractures