After the success of total hip replacement arthroplasty by John Charnley in 1962, it was well known fact that total hip replacement arthroplasty can be applied to degenerative arthritis, rheumatoid arthritis, post-traumatic arthritis, ankylosing spondylitis, even on the fused hip. However the old dislocated hip gives arise a few problem for its total hip replacement with the follwing causes:, 1. floor of the falad acetabulum is very thin and inadequate to receive a socket. 2. distorted anatomy of the acetabulum and proximal femur. 3. short and atrophic abductor mechanism. Total hip replacement arthroplasty could be successful for the old dislocated hip, if the adequate size of cup ard prosthesis are available and there is adequate length of the hip abductor. Preoperatively we can measure the size of the acetabulum and the distorted femur with roentgenogram. But it is not known how to measure or predict whether or not there is enough length of the abductor muscle mechanism preoperatively. Therefore the question arises how to measure or predict the length of the hip abductor in the old dislocated hip. Although this is a preliminary report, it is our feeling that the more the range of motion the hip has, the better the length of the hip abductor muscle. In our series acetabular socket can be positioned at the original site and the osteomized greater trochanter reduced to the femur easily in the cases more than 190 of total range of motion of the affected hips, The range of motion of the affected hip can be measured preoperatively.
Acetabulum ; Arthritis ; Arthritis, Rheumatoid ; Arthroplasty ; Arthroplasty, Replacement, Hip ; Femur ; Hip ; Osteoarthritis ; Prostheses and Implants ; Range of Motion, Articular ; Spondylitis, Ankylosing

No abstract available.
Diagnostic Errors*

MRI has achieved many technical advances in the spatial resolution, temporal resolution, contrast resolution, signal-to-noise ratio, and postprocessing technique. At one session of examination within a tolerable time, MRI can provide integrated information on coronary artery stenosis, systolic dysfunction, myocardial perfusion, and myocardial viability. Delayed enhancement study after contrast administration is highly reproducible and offers unique vision for myocardial viability in the patients with myocardial infarction. Cardiac MRI is very cost-effective and may be one-stop solution for the evaluation of ischemic heart disease.
Coronary Stenosis ; Humans ; Magnetic Resonance Imaging* ; Myocardial Infarction ; Myocardial Ischemia* ; Perfusion ; Signal-To-Noise Ratio

No abstract available.
Humans ; Infant, Newborn*

No abstract available.

This study was carried out in clinical nurses to identify the factors related to implementation of pain intervention. Samples were selected from 215 nurses working at four different hospitals in Seoul, Taegue, Andong and Mungung between March 3 and April 4, 1997. The data were analyzed with descriptive statistics, t-test and chi-square using SAS statistical package. The results were as follows. 1. The answer of questions. Ninety six percent of the nurses agreed that pain perceived in each patients was influenced by several factors besides tissue demage. Fifty two percent of nurses demonstrated that they were more responsible for relieving patients's pain now than just after graduation. Ninety two percent of the nurses answered that they were not as sympathetic as for patients's pain now than just after graduation. Eighty five percent of the nurses thought that patients' pain score would be higher than nurses. At the moment of pain assessment, 34.4% of the nurses thought the most important factor was physiological change. The most applicated pain intervention method was analgesic medication. They thought that interesting pain intervention method were change of interest, psycotherapy, hypnotherapy, music therapy, relaxation technique, gi therapy, exercise therapy, supporting therapy, hot application and cold application. They thought that new pain intervention methods were gi therapy, hypnotherapy, imagenation therapy, music therapy and relaxation technique. Only seventeen percent of the nurses had practiced new pain intervention method to the patient. 2. The relation among characteristics, the level of assertiveness behavior, self-esteem and implementation of pain intervention. Source, graguation, responsibility for pain relief and the level of assertiveness behavior were related to implementation of pain intervention method and showed a statistically significant difference.
Assertiveness ; Daegu ; Exercise Therapy ; Gyeongsangbuk-do ; Humans ; Music Therapy ; Pain Measurement ; Relaxation ; Seoul

No abstract available.
Leptospirosis*

No abstract available.
Retinoblastoma*

No abstract available.
Fever* ; Hip* ; Humans ; Male*

The detailed descriptions about clinical features and management of the different types of peripheral neuropathy are beyond the scope of this article. It may be appropriate here to outline general aspects of clinical features and classification of peripheral neuropathies. The clinical history and the abnormalities revealed by physical examination may either suggest the diagnosis or narrow down the diagnostic possibilities, facilitating subsequent investigation. Nerve conduction studies can provide crucial information and are best performed at initial examination. In general, the first broad determination should be made whether the patient has symmetrical polyneuropathy or focal, or multifocal neuropathies. The range of diagnostic possibilities differs between symmetrical polymeuropathy and mutifocal neuropathy. For those patients with symmetrical polyneuropathy, the clinical pattern (that is, whether it is motor, sensory, or mixed, or whether it has proximal or distal distribution) can provide useful information, as well as the rapidity of onset and previous clinical course in established cases. Managements of peripheral neuropathy and planning of its treatment mostly depend on the confirmative diagnosis of peripheral neuropathy. Thus, the best knowledge and understanding of basic principles of peripheral neuropathies are required for facilitating the diagnosis of peripheral neuropathies.
Classification ; Diagnosis* ; Humans ; Neural Conduction ; Peripheral Nervous System Diseases* ; Physical Examination ; Polyneuropathies