No abstract available.
Fatty Liver*

BACKGROUND: It goes without saying for the importance of pre-hospital care in EMS system. At present 119 rescuers take charge of the majority for the pre-hospital care in Korea. But the present activity and job satisfaction of 119 rescuers is not studied. METHOD: The authors analyzed the questionnaire from the 98 rescuers had taken the lessons on emergency medical technician training program at the Central Fire Fighting School, Cheonan city. We used a Likert's five stage barometer for the analysis of job satisfaction. RESULTS: On regional distribution of rescuers 29.6% was in metropolitan city and 70.4% was from each province. On sexual distribution male was 93%, average age was about 30 years old. The academic background was commonly below the high school graduation. Sixty-one of 98 rescuers (62.2%) was married. The monthly mean income is 1.07 million Won. There was a statistical difference of the monthly mean income between the age, sex, and the period of work (p<0.05). The average duration of job was 27 months. In most cases. the patients or relatives decided the evacuation hospital (89.8%). 67.0% of rescuers answered the necessity of emergency communication system during transport. The serious problems during transport were the lack of manpower, the knowledge of emergency care, the deficit of emergency equipment and telecommunication system. The priority of decision for evacuation hospital is the presence of special medical team, the severity of patients, the presence of modern hospital. The emergency equipment of ambulance was satisfactory in general. Almost all the rescuers (99.0%) want continuous education and 92.7% of them want at the emergency center or general hospital twice a year. The degree of job satisfaction was the job of special knowledge and skills, the professional work and self-assurance in order. CONCLUSION: 119 rescuers were gratified generally at the job satisfaction. But it was poor at work condition. The authors think that a government office and the korean society of Emergency Medicine must hard work for the improvement of work condition and the administration of continuous education.
Adult ; Ambulances ; Chungcheongnam-do ; Education ; Emergencies ; Emergency Medical Services ; Emergency Medical Technicians ; Emergency Medicine ; Fires ; Hospitals, General ; Humans ; Job Satisfaction* ; Korea ; Male ; Surveys and Questionnaires ; Telecommunications

No abstract available.
Fatty Liver* ; Obesity*

The “whistling face” syndrome is a dominantly inherited disorder involving the face and musculoskeletal system. Sjnce its first description in 1938 by Freeman and Sheldon, sporadic case reports have appeared in the literature under various syndromes, cranio-carpo-tarsal dystrophy, cranio-facio-corporal syndrome, cranio-carpo-tarsal dysplasia, whistling face-Windmill Vane Hand syndrome and the chirocheilo-podalic syndrome. This report reviews the clinical manifestation of 5 cases of whistling face syndrome in 3 generation in one family.
Hand ; Humans ; Musculoskeletal System ; Singing

Combined procedue of open reduction and shortening of femur for treatment of congenital hip dislocation in the older child is known to minmize the incidence of avascular necrosis, redislocation and stiffness. Thirty six hips in thirty three children were operated upon in the past six years with combined procedue of open reduction and shortening of femur. And twenty eight hips in twenty five children who were followed up more than one year were analysed. By the results, we obtained excellent in twenty nine percent, good in fifty three percent, fair in fourteen percent and poor in four percent.
Child ; Dislocations ; Femur ; Hip Dislocation, Congenital ; Hip ; Humans ; Incidence ; Necrosis

Two hundred and thirty-seven patients who had paresis or paralysis of the quadriceps muscles underwent a transfer of the biceps femoris by Caldwell's method or medial hamstring to the patella. Seventy-six legs of seventy-two patients who had followed-up more than one year were reviewed and analysed. The results showed there was an overall improvement measured by decreased extension lag in all age groups and relatively uniform good results in young age group. Again we reviewed the forty-six patients chronologically to eliminate the outer factors who were transfered normal biceps femoris or medial hamstring power to absent quadriceps. By that we found the extension power of the knee joint after muscle transfer had been decreased by age.
Clothing ; Humans ; Knee Joint ; Leg ; Methods ; Paralysis ; Paresis ; Patella ; Poliomyelitis ; Quadriceps Muscle

Degenerative joint disease is a non-inflammatory disorder of movable joints characterized by deterioration and abrasion of articular cartilage, and also by formation of new bone at the joint surfaces. It is by far the most common form of arthritis in persons over the age of fifty, but manifestation of this disease do not appear as a rule until the fourth or fifth decade. Despite the frequent occurrence of osteoarthrosis in the adult population, many parameters of its pathogenesis have not yet been established. It is generally accepted that many types of injury, and prolonged strenous sporting activity are capable of producing the initial cartilage lesion that leads to the development of degenerative joint disease. But little information is available on its frequency in young athletes. The present study was designed to obtain more precise information about the effect of prolonged strenuous athletic activities on the development of osteoarthrosis in young women athletes. After a detailed clinical examination of the joints of 50 Korean young women volley ball players between 19 and 24 years of age, routine roentgenography was taken of hips, knees, ankles, shoulders, elbows, wrists and hands. The following results were obtained: 1. 23(46%) of 50 young women volley ball players had radiological evidence of osteoarthrosis in one or other of the joint X-rays, but there was no instance of apparent narrowing of the joint space. Nine(18%) of 50 young players had osteoarthrosis in more than 2 joints. Among 50 young volley ball players, 19(38%) athletes had symptomatic osteoarthrosis. 2. The knee joints were most commonly affected(34%). Less frequent sites were ankles(16%), elbow(8%), shoulders(8%) and hips(2%). But there was no involvement of the distal interphalangeal joints of the hand which are most frequently affected in the elderly. 3. 8(16%) of 50 athletes were found to have osteoarthrosis at the site of an injury. The knee joints showed this association most frequently. 4. It was found that body weight and occupation did not affect the incidence of the osteoarthrosis significantly.
Adult ; Aged ; Ankle ; Arthritis ; Athletes ; Body Weight ; Cartilage ; Cartilage, Articular ; Elbow ; Female ; Hand ; Hip ; Humans ; Incidence ; Joint Diseases ; Joints ; Knee ; Knee Joint ; Occupations ; Osteoarthritis ; Radiography ; Shoulder ; Sports ; Wrist

No abstract available.
Child* ; Humans ; Thyroid Gland* ; Thyroid Nodule*

No abstract available.
Colorectal Neoplasms*

The purpose of this study was to investigate the effects of combined exercise on visceral fat, cardiac function, adipocytokine, and NT-pro BNP concentration according to angiotensin-converting enzyme(ACE) genotype in obese middle aged men. Fifty three obese men (II type: 18, ID type: 20, DD type: 15), ratio of visceral and subcutaneous were over 0.4, were enrolled in the study. The combined exercise program included stretching, resistance training, aerobic exercise, and yoga. The exercise was conducted for 60 minutes, 4 times a week for 12 week period. ACE genotype was determined using a polymerase chain reaction (PCR), and the genetic subtype was classified in three patterns e.g. II, ID, DD. As a results, body weight, BMI, and WHR significantly decreased after 12 weeks of combined exercise in ID type and DD type. Body fat(%), visceral fat and V/S significantly decreased after 12 weeks in DD type. HDL-C and LDL-C significantly improved in II, ID and DD type. Cardiac structure decreased in all genotype and cardiac function increased in DD type. IL-6 and NT-pro BNP, the risk factors of cardiovascular disease, were significantly decreased in DD type, after 12 weeks. Therefore, exercises have shown to be most effective in type DD which is also considered as the risk of cardiovascular diseases. Among all the ACE genotype, DD type requires the most exercise.