Authors found a case with a slight trauma in which two eye lashes penetrated into the anterior chamber. This 25 years old male patient came to our clinic 2 weeks after trauma on right eye and eyelid, complaining of photophobia, foreign body sensation and ocular pain which were persisted for two weeks. On slit-lamp examination, two eye-lashes on iris surface were found in the anterior chamber of his right eye and a dot like corneal superficial opacity was also found on 6 o'clock meridian near the limbus, but that is questionable whether it is penetrating wound or not. No other foreign body was noticed in the same chamber. The eye lashes were removed surgically and the one of them was carried out by iridectomy. The literatures were briefly reviewed for the mechanism of the penetration of the cilia was very mterestmg.
Adult ; Anterior Chamber* ; Cilia ; Eyelids ; Foreign Bodies ; Humans ; Iridectomy ; Iris ; Male ; Photophobia ; Sensation ; Wounds, Penetrating

Urea reduction ratio (URR) and Kt/Vurea are objective parameters of dialysis delivery in hemodialysis patients and correlate with nutritional status and patient outcome. URR and Kt/Vurea depend on postdialysis blood urea nitrogen (BUN). In patients with severe postdialysis urea rebound (PDUR), these parameters do not accurately reflect dialysis adequacy. We measured PDUR 30 minutes after dialysis in 26 chronic stable hemodialysis patients. The impact of PDUR on dialysis delivery assessed by URR and Kt/Vurea and the independent factors affecting on PDUR were evaluated. All patients had been dialyzed for 4 hours thrice a week using hemophan membrane. 1) The mean age of patients was 48.6+/-14.8 years and sex ratio was 1:2.3. The mean duration of hemodialysis was 42.7+/-45.0 months. Primary renal diseases were chronic glomerulonephritis 11 (42.3%), diabetic nephropathy 7 (26.9%), and hypertension 4 (15.4%). 2) The mean blood flow was 209.2+/-17.4ml/min. URR, Kt/Vurea, and nPCR using immediate postdialysis BUN were 60+/-7%, 1.13+/-0.21, 1.09+/-0.28g/kg/ day, respectively. The mean recirculation rate was 4.4+/-2.3%. 3)The mean PDUR was 12.2+/-4.6% (range:6-22 %). URR, Kt/Vurea, and nPCR using BUN 30 minutes after dialysis were 55+/-7%, 0.99+/-0.18, and 1.02+/-0.25 g/kg/day, respectively and were significantly lower than those using immediate postdialysis BUN (P<0.05). 4) When the patients were divided according to the degree of PDUR (low PDUR group:<12%, high PDUR group: > or = 12%), high PDUR group was significantly higher than low PDUR group in hematocrit (27.0+/-2.6 vs. 23.5+/-3.6%, P=0.008), URR (64.3+/-5.4 vs. 55.8+/-6.8%, P=0.002), Kt/Vurea (1.26+/-0.17 vs. 1.03+/-0.18, P=0.002), and total recirculation rate (5.6+/-2.7 vs. 3.6+/-1.7%, P=0.05). There were no differences in age, sex, postdialysis body weight, ultrafiltration rate, blood flow, serum albumin, predialysis BUN, creatinine, and nPCR. 5) In multiple regression analysis, the independent factors affecting on PDUR were Kt/Vurea (beta=0.546, P<0.001), recirculation rate (beta=0.422, P<0.001), and hematocrit (beta=0.366, P=0.0017). In conclusion, we think that PDUR should be considered in hemodialysis patients when estimating dialysis delivery, especially if they had high Kt/ Vurea, recirculation rate, and hematocrit.
Blood Urea Nitrogen ; Body Weight ; Creatinine ; Diabetic Nephropathies ; Dialysis* ; Glomerulonephritis ; Hematocrit ; Humans ; Hypertension ; Membranes ; Nutritional Status ; Renal Dialysis* ; Serum Albumin ; Sex Ratio ; Ultrafiltration ; Urea*

No abstract available.
Empyema*

No abstract available.
APACHE* ; Intensive Care Units* ; Critical Care*

No abstract available.
Magnetic Resonance Imaging*

For the purpose of elucidating relation between red cell electrolyte concentrations and serum digoxin level, measurement of red cell electrolyte concentrations and seum digoxin level by radioimmunoassay were done in 46 normal controls and 63 patients of CHF including 8 patients with digitalis intoxication. The results obtained were as follows: 1. Red cell sodium concentration and ratio of red cell sodium to red cell potassium concentration in normal males were significantly higher than those of females, and red cell potassium concentration in normal males was significantly lower than that of normal females. 2. Red cell potassium concentration in patients of CHF was significantly higher than that of normal controls, but there was no difference in the red cell sodium concentration between the groups. 3. There was no relation between red cell electrolyte concentrations and serum digoxin level, and red cell electrolyte concentration did not exactly estimate serum digoxin level. 4. Red cell electrolyte concentrations in the patient of CHF were valuable in detecting digitalis toxicity.
Digitalis ; Digoxin* ; Female ; Humans ; Male ; Potassium ; Radioimmunoassay ; Sodium

The authors experienced 21 myasthenia gravis patients who were admitted to Kyung Hee University Hospital and Han Yang University Hospital from March 1979 to August 1983. Following results were obtained through treatment and follow up evaluation. 1. There was no sexual difference between male and female, of 21 patients male to female ratio was 10:11. The prevalent age group was 20s and 30s. (10 of 21 patients, 47.6%). 2. The most common initial symptom was ptosis (71.4%), followed by diplopia (38.0%), generalized muscle weakness (38.0%), swallowing difficulty(19.0%), Mastication difficulty (9.5%), dysarthria (4.8%), respiratory difficulty (4.8%), in order. 3. Among 21 patients, thymomas were found in 2 patients. (9.5%) 4. According to the modified Osserman's classification, the peak incidence group was IIA (7 cases, 33.3%) then IIB (5 cases, 23.8%). Group III and neonatal type were not seen. 5. In 14 patients (66.6%), diagnosis was made within 1 year after the onset of the symptoms, but the other 7 patients (33.3%) spent more than 1 year for the diagnosis. 6. All patients who received corticosteroid therapy or thymectormy were improved significantly after the treatment. 7. After the discharge, 3 patients (14.3%) make normal life, on the other hand 17 patients (80.9%) are in more or less restricted life.
Classification ; Deglutition ; Diagnosis ; Diplopia ; Dysarthria ; Female ; Follow-Up Studies ; Hand ; Humans ; Incidence ; Male ; Mastication ; Muscle Weakness ; Myasthenia Gravis* ; Thymoma

The authors experienced 21 myasthenia gravis patients who were admitted to Kyung Hee University Hospital and Han Yang University Hospital from March 1979 to August 1983. Following results were obtained through treatment and follow up evaluation. 1. There was no sexual difference between male and female, of 21 patients male to female ratio was 10:11. The prevalent age group was 20s and 30s. (10 of 21 patients, 47.6%). 2. The most common initial symptom was ptosis (71.4%), followed by diplopia (38.0%), generalized muscle weakness (38.0%), swallowing difficulty(19.0%), Mastication difficulty (9.5%), dysarthria (4.8%), respiratory difficulty (4.8%), in order. 3. Among 21 patients, thymomas were found in 2 patients. (9.5%) 4. According to the modified Osserman's classification, the peak incidence group was IIA (7 cases, 33.3%) then IIB (5 cases, 23.8%). Group III and neonatal type were not seen. 5. In 14 patients (66.6%), diagnosis was made within 1 year after the onset of the symptoms, but the other 7 patients (33.3%) spent more than 1 year for the diagnosis. 6. All patients who received corticosteroid therapy or thymectormy were improved significantly after the treatment. 7. After the discharge, 3 patients (14.3%) make normal life, on the other hand 17 patients (80.9%) are in more or less restricted life.
Classification ; Deglutition ; Diagnosis ; Diplopia ; Dysarthria ; Female ; Follow-Up Studies ; Hand ; Humans ; Incidence ; Male ; Mastication ; Muscle Weakness ; Myasthenia Gravis* ; Thymoma

No abstract available.