We studied the contents of referral sheets of the patients transferred to DMC Emergency Center from Jan 1, 1999 to Jan 31, 1999. The study far the completion and chief complaints in the referral sheets shows the followings. 1. Examining the referral sheets status of disease, name and age record of 5 major items grade 0.92, the highest point, examining item and laboratorial record grade 0.72, dignosis record grades 0.38, and patients condition and diagnosis opinion record grade 0.10. 2, Name and age item had high completion score in referral sheets from local clinic and hospital for secondary referral level. For address item, however, local clinic scored 0.63 and hospital for secondary referral level scored 0.28, which showed statistically significant difference(P<0.001). 3. In the aspect of severity, name and age record leveled 0.94 to the non emergency patient, 0.92 to the emergency patient, 0.91 urgent patient, showed and no statistic significant difference. 4. The major 10 symptoms of the complaints were these the pain of abdomen and pelvis(25.2%), somnolence and stupor, coma(13.6%), headache(10.9%), and open wound of head(4.0%), ranked 10th common symptom level.
Abdomen ; Diagnosis ; Emergencies ; Humans ; Referral and Consultation* ; Stupor ; Wounds and Injuries

No abstract available.
Animals ; Bacteremia* ; Cerebrospinal Fluid* ; Haemophilus influenzae* ; Haemophilus* ; Interleukin-6* ; Kinetics* ; Meningitis* ; Models, Animal* ; Rats* ; Tumor Necrosis Factor-alpha*

Rumex japonicus Houttuyn are ubiquitous plants, which are found in marshes or in wet areas. The root of Rumex japonicus Houttuyn has been used for the treatment of skin diseases including fungal infections of the skin since older times in Japan and China. This study was undertaken to investigate the antifungal activity of the alcoholbenzene extract of Rumex japonicus Houttuyn in vitro. During this experiment the extracts of Rumex japonicus Houttuyn were diluted seriaIly in the Sabouraud's dextrose agar and fungal mats or fungal suspensions of isolated strains of dermatophytes were inoculated into each medium containing different concentrations of test materials. Then their growth was observed for 2 weeks or 10 days at room temperature. (countinued...)
Agar ; Arthrodermataceae ; China ; Glucose ; Japan ; Rumex* ; Skin ; Skin Diseases ; Suspensions ; Wetlands

Lymphoepithelial carcinoma is a rare subtype of undifferentiated carcinoma in the salivary gland. The incidence of lymphoepithelial carcinoma is about 0.4% among the patients with major salivary gland tumors. It has a racial preference; about 75% of the patients are of Mongolian ancestry. We report a case of lymphoepithelial carcinoma arising in the left parotid gland of a 52-year-old man. Grossly, the tumor was relatively well demarcated, gray-white, and solid. Microscopically, the irregular shaped syncytial tumor cell islands were evident within lymphoplasma cell-rich and desmoplastic stroma. The carcinoma cells had large vesicular nuclei and prominent nucleoli. The tumor invaded the surrounding salivary gland tissue. Epstein-Barr virus (EBV) was demonstrated by in situ hybridization for EBV-encoded RNA-1 (EBER-1) and polymerase chain reaction for EBV nuclear antigen-1 (EBNA-1).
Carcinoma ; Herpesvirus 4, Human* ; Humans ; In Situ Hybridization ; Incidence ; Islands ; Middle Aged ; Parotid Gland* ; Polymerase Chain Reaction ; Salivary Glands

No abstract available.
Cautery* ; Pneumothorax* ; Thoracoscopes*

No abstract available in English.
Clinical Study ; Shoulder Fractures

Pigmented neurofibroma, a variant of neurofibroma, has rarely been observed in patients with or without neurofibromatosis. Pigmented neurofibroma is characterized histologically by the coexistence of scattered melanin-laden cells and benign spindle cells with neural differentiation. We report a case of pigmented neurofibroma in a 22-year-old female patient.
Female ; Humans ; Neurofibroma* ; Neurofibromatoses ; Young Adult

No abstract available.

Melorheostosis is a rare from of hyperostosis characterized by candle greasing down along the major axis of long bones. A case of melorheostosis combined with exostosis in the fifth toe was presented here because of its rarity.
Exostoses ; Hyperostosis ; Melorheostosis ; Toes

It has been well known that the knee joint is burdened on motion and weight bearing and structurally, it is more frequently injuried than other joints. Injuries to the ligaments of the knee joint are of frequent occurrence because of the increasing traffics and popularity of sports. It seems to be impotant to study on the mechanism of Injury, method of physical examination and treatment of the Iigamentous injuries of the knee. The purpose of this paper is to get accurate diagnosis and proper treatment. 68 cases of ligamentous injuries in 65 patients who were admitted and treated at the Department of Orthopaedic Surgery of Hanyang University Hospital from May, 1975 to April, 1979 have been reviewed. The results of this study were as follows: 1. The ligamentous injuries of the knee were more prevalent in male 4.9 times than female; and frequently occured in 20 to 30 decades (60%). 2. Traffic accident was the most common cause, and the most frequent injury associated with the ligament injuries of the knee was fracture. 3. Medial collateral ligament was ruptured most frequently and its tibial attachement was the most common site of the rupture. 4. Frequently, lateral collateral ligament was detached from the fibular attachment, anterior and posterior cruciate ligaments were ruptured through their substances. 5. There were 3 cases of isolated cruciated ligament injury, one was anterior and others were posterior. 6. Excellent or good result was obtained in 77.3% by operative treatment and in 93.3% by nonoperative treatment. 7. Early repair (under two weeks) gave much better results than late repair.
Accidents, Traffic ; Clinical Study ; Collateral Ligaments ; Diagnosis ; Female ; Humans ; Joints ; Knee Joint ; Knee ; Lateral Ligament, Ankle ; Ligaments ; Male ; Methods ; Physical Examination ; Posterior Cruciate Ligament ; Rupture ; Sports ; Weight-Bearing