A study was made of the differences in clinical features and immunological aspects between herpes zoster patients with malignancies and those without malignant tumors. The results obtained from the retrospective review of medical records are as follows: Herpes zoster occurred more frequently in younger patients(less than twenty) with malignanciee as compared with the control group of the same ages,' Male was dominant among zoster patients with malignancies as is the contrary to contral group; Tihere were no marked differences in primarilly involved dermatomes between the two groups; Generalized varicelliform eruptiona were more common in zoster pa,tients with malignaneies than in control group, It seemed that zoster patients with malignancies complained of milder degree of pain. Zoeter patienta associated with malignancies were more frequently DNCB-negative and had decreased OKT3+ pan T cells, OKT4+ helper/inducer T cells as compared with control group, which suggest impaired cell mediated immunity in the former.
Herpes Zoster* ; Humans ; Immunity, Cellular ; Male ; Medical Records ; Retrospective Studies ; T-Lymphocytes

No abstract available.
DNA* ; Lymphoproliferative Disorders*

No abstract available.
DNA* ; Lymphoproliferative Disorders*

There is much controversy concerning the method of treatment on the tibial fracture because of frequent complications, such as non-union, delayed union and infection. Authors reviewed and analyzed 110 tibial fractures which had been treated at the Department of Orthopedic Surgery, Sung Ae General Hospital from June 1983 to March 1987 by the groups, conservative treatment, open reduction and internal fixation with compression plate and closed flexible intramedullary nailing. The results were as follows :1. In regard to the fracture location, there was no difference in the healing time among the treatment methods. The I.M. nailing group healed 1.5 weeks earlier than other groups in each location. 2. In minor and moderate severity by Ellis, the I.M. nailing group revealed better result, and in major one, the compression plate group showed better result. More complications occured in major severity. 3. Union time among the trestment methods was not affected by the fibular fractures, but most of the complications occured in the concomitant fibular fracture case. 4. In open fracture, the healing time showed no difference among the groups, and was prolonged about 2 weeks than closed fracture. In closed case, the I.M. nailing group showed good result. 5. The cases, which were reduced earlier in the conservative group, and treated within 3 days in the I.M. nailing group revesled better result. 6. The radiological union time from the definite treatment was 15.80 weeks in the conservative treatment group, 15.18 weeks in the compression plate group and 13.92 weeks in the I.M. nailing group.
Clinical Study ; Fracture Fixation, Intramedullary ; Fractures, Closed ; Fractures, Open ; Hospitals, General ; Methods ; Orthopedics ; Tibia ; Tibial Fractures

No abstract available.
Rhinitis*

PURPOSE: The elderly patients have been known for high incidence of postoperative complications following a lumbar fusion surgery. This study was conducted to determine the results of clinical outcomes after a lumbar fusion surgery in patients older than 75 years and to compare with those in patients between 65 and 74 years old. MATERIALS AND METHODS: One hundred twenty-five patients who underwent lumbar fusion were enrolled. The mean follow-up was 22.5+/-15.7 months. Preoperative diagnosis was spinal stenosis in 113 patients and degenerative spondylolisthesis in 12 patients. Revision surgery or multi-level spinal fusion (>4 segments) was excluded. There were 27 patients in group A (>75 years) and 98 patients in group B (65-74 years). Preoperative American Society of Anesthesiologists (ASA) scores, visual analog scale (VAS), Oswestry disability index (ODI), postoperative complications, and bone union rate were compared. RESULTS: The mean age was 78.6 years and 68.8 years in Group A and Group B, respectively. The mean preoperative ASA score was statistically different between group A and group B (p=0.025). The mean bone mineral density T score in group A was higher than that in group B (p=0.002). The mean VAS did not show a difference between the groups (p=0.171). There was no difference in the mean ODI between the groups in the improvement of VAS and ODI. The major and minor complications of early complications and late complications were observed without any statistical difference. CONCLUSION: Although preoperative ASA score was higher and osteoporosis was severe in the elderly patients (>75 years old), the improvement of clinical outcome was satisfactory as much as younger patients (65-74 years old) following a lumbar fusion surgery for degenerative spinal disease.
Aged ; Bone Density ; Follow-Up Studies ; Humans ; Incidence ; Osteoporosis ; Postoperative Complications ; Spinal Diseases ; Spinal Fusion ; Spinal Stenosis ; Spine ; Spondylolisthesis

Transfer of large quantities of fetal blood across the placental barrier to the maternal circulation is a rare occurrence which results in severe anemia in the newborn infants. This phenomenon is believed to occur most often during labor and delivery and apparently, is more frequent when abnormal obstetric conditions are present. However, fetal erythrocytes have been identified in the naternal circulation throughout most of pregnancy indicating some degree of constant or intermittent transplacental transfusion. We experienced a case of stillbirth due to large amount of fetomaternal transfusion. Acid elutionl test of maternal blood was positive and direct and indirect Coombs test was negative. Ultrasonographic finding on abdomen and cranium to rule out the internal hemorrhage was normal. We report a case of stillbirth due to fetomaternal transfusion with a brief review of related literatures.
Abdomen ; Anemia ; Coombs Test ; Erythrocytes ; Female ; Fetal Blood ; Fetomaternal Transfusion* ; Hemorrhage ; Humans ; Infant, Newborn ; Pregnancy ; Skull ; Stillbirth*

A case of multiple myeloma with massive pleural effusion is reported. A 53 year-old previous known multiple myeloma patient vistited our hospital complaining of cough with sputum. Radiologic study revealed multiple osteolytic bony lesions and left side pleural effusion. The effusion were bloody exudates containing numerous atypical plasma cells. The tumor cells showed pleomorphism, eccentric nuclei, prominent nucleoli, perinuclear halo, multincleation, and chromatin patterns of occasional cart-wheel appearance. The cytological examination of pleural fluid established the malignant nature of the effusion with multiple myeloma.
Biopsy* ; Chromatin ; Cough ; Enzyme Assays* ; Exudates and Transudates ; Glycogen Storage Disease* ; Glycogen* ; Humans ; Lung ; Lymphoma, T-Cell, Peripheral ; Middle Aged ; Multiple Myeloma ; Plasma Cells ; Pleural Effusion ; Sputum

BACKGROUND: As Koreans have had great enthusiasm for education traditionally, most students have excessive anxiety about tests and such anxiety may cause several physical and psychological problems. But there are few studies on the relationship between test anxiety and family function. Therefore, in this study, we tried to figure out the relationship between test anxiety and family function in order to treat and educate patients who have excessive test anxiety. METHODS: In a survey study, the Korean Version of Test Anxiety Inventory and Olson's FACES III was administered to the 220 second year high school students of a single high school who live in Pusan. Two groups of students with high and low test anxiety levels (52 in each group) were selected based on the test anxiety scale ratings and analysis of their family adaptability and cohesion. RESULTS: In FACES III adaptability of high test anxiety group, there were 15 cases (28.8%) for rigid, 23 cases (44.2%) for structured, 11 cases (21.2%) for flexible and 3 cases (5.8%) for chaotic familes. In that of low test anxiety group, 2 cases (3.8%) for rigid, 16 cases (30.8%) for structured, 24 cases (46.2%) for flexible and 10 cases (19.2%) for chaotic familes. In FACES III cohesion of high test anxiety group, there were 2 cases (3.8%) for disengaged, 14 cases (26.9%) for separated, 20 cases (38.5%) for connected and 16 cases (30.8%) for enmeshed familes. In that of low test anxiety group 18 cases (34.6%) for disengaged, 22 cases (42.3%) for separated, 8 cases (15.4%) for connected and 4 cases (7.7%) for enmeshed familes. In FACES III family type of high test anxiety group, there were 24 cases (46.2%) for balanced, 20 cases (38.4%) for mid range and 8 cases (15.4%) for extreme familes. In that of low test anxiety group 24 cases (46.2%) for balanced, and 22 cases (42.3%) for mid range and 6 cases (11.5%) for extreme familes. CONCLUSION: Cohesion scale of high test anxiety group was higher than that of low test anxiety group and adaptability scale of low test anxiety group was higher than that of high test anxiety group.
Anxiety* ; Busan ; Education ; Humans ; Test Anxiety Scale

PURPOSE: Methicillin-Resistant-Staphylococcus aureus (MRSA) has been increasingly recognized as a cause of nosocomial infection. MRSA is hardly-controllable organism among the pathogen of nosocomial infection, because it is resistant to most antibiotics except vancomycin, and local treatment with most antiseptics are not effective to eradicate MRSA from the infection. The effectiveness of Vacuum-Assisted-Closure(VAC) was reported widely. we tried to modify original VAC. We tried VAC dressing on MRSA infected wound to evaluate whether or not the VAC is effective to eradicate MRSA which existed in the open wound. METHODS: From September 2003 to December 2003, 24 patients admitted to the plastic and reconstructive surgery and orthopedic surgery, were studied. All patients were found to be positive in previous wound. Using clinical randomized study, 24 patients were divided into two groups: VAC dressing group and the Betadine(R) dressing group(control). During treatment, wound culture was done twice a week for evaluation of MRSA infection elimination. RESULTS: The mean period that MRSA become not detected in all case was 17.1 days in VAC dressing group, and 25.8 days in control group, respectively. The p value was 0.013. The result reveals that the VAC dressing group is more effective to MRSA infection control. As a result, the VAC dressing was more effective in MRSA infected wound than conventional dressing. CONCLUSION: Through this study, we found objective result of VAC dressing. We hope that VAC dressing is more widely applied to fresh and infected wound.
Anti-Bacterial Agents ; Anti-Infective Agents, Local ; Bandages ; Cross Infection ; Hope ; Humans ; Infection Control ; Methicillin-Resistant Staphylococcus aureus ; Orthopedics ; Plastics ; Vancomycin ; Wounds and Injuries*