No abstract available.
Surveys and Questionnaires*

No abstract available.
Pulmonary Disease, Chronic Obstructive* ; Pulmonary Heart Disease* ; Tuberculosis, Pulmonary*

Due to its anatomical position and histological characteristics of thin capsule and low abundance of connective tissue, the spleen is a prime target for damage from blunt injury or during operation. Until recently, total splenectomy has been considered as safe operation for splenic injuries. But now, splenic salvage procedure or non operative treatment have become the standard care with knowledge for immunologic function of spleen, development of radiologic examination such as ultrasonography and abdominal CT, and report about high risk of mortality after splenectomy. Authors have experienced 27 patients with splenic injury admitted to the emergency department during 5 years 4 months period from 1991 to 1996. Among them, 10 patients were received total splenectomy, 2 patients partial splenectomy, 8 patients splenorrhaphy, one patients hemostasis, and 6 patients underwent nonoperative management.
Connective Tissue ; Emergency Service, Hospital ; Hemostasis ; Humans ; Mortality ; Spleen ; Splenectomy ; Tomography, X-Ray Computed ; Ultrasonography ; Wounds, Nonpenetrating

The pelvis is a ring structure with strong ligamentous support. This support includes the symphysis pubis, the anterior and posterior sacroiliac ligaments, and the strong sacrospinous and sacrotuberous ligaments. Since the pelvis is a ring, disruption of any portion of the ring is always associated with disruption in another portion of the ring. Massive pelvic disruption is an important and often life threathening. The author reviewed 36 cases of unstable pelvic bone fractures treated at the Orthopedic department of Chonbuk National University Hospital from January 1982 to December 1989, and analized the causes of injury, types of fracture by Pennal and Tiles method, associated injuries, early and late complication, methods of treatment. The clinical results were obtained as follows: 1. The incidence of injury in male was almost same in female and most of the patients were in the 3rd to 5th decade of their life. 2. The causes of injuries were traffic accidents, fall-down, others. 3. The most common fractures of unstable pelvic bone fractures were type II fractures due to lateral compression and Type III fractures due to vertical shear(Br Penall and Tile). 4. The fractures of acetabulum and tibia and fibula were the most commonly associated bone and joint injuries. Also the injury on the genitourinary tract was the most commonly associated soft tissue injuries. 5. There are various mathods of treatment in unstable pelvic bone fracture. A satisfactory results of conservative treatment were 73% and operative treatment were 85%. 6. In unstable pelvic bone fractures we consider that the external fixstior should probably be the first choice of treatment.
Accidents, Traffic ; Acetabulum ; Clinical Study ; Female ; Fibula ; Humans ; Incidence ; Jeollabuk-do ; Joints ; Ligaments ; Male ; Methods ; Orthopedics ; Pelvic Bones ; Pelvis ; Pubic Bone ; Soft Tissue Injuries ; Tibia

Recently the incidence of intertrochanteric factures of the femur has been increasing progressively due to prolongation of average life span and increased activity. Most of intertrochanteric fractures of the femur occur in elderly patients with osteoporotic bone change and general weakness. The goal of treatment is early mobilization with immediate weight bearing to prevent the complications such as deep vein thrombosis, pulmonary embolism, pneumonia or atelectasis, and pressure sore. We have tried to assess the outcome and complications of bipolar hip prostehsis for the femoral intertrochanteric fracture in elderly patients. The twenty octogenarian patients received a bipolar hip prosthesis due to femoral intertrochanteric fractures from January 1989 to December 1994 at the Department of Orthopedic Surgery of Chonbuk National University Hospital. The results were as follows: 1. The average age of patients was 83.5 years and underlying problems are hypertension, cerebral vascular accident, pulmonary problem, diabetes mellitus, and osteoarthritis. 2. By Tronzo classification, Type III was the most common (80%) type. 3. Complications were peroneal nerve palsy, intraoperative femoral shaft fracture, postoperative stem tip fracture, dislocation and shortening. 4. Postoperative ambulation was possible at 2 weeks after surgery. 5. In elderly unstable osteoporosis patient, bipolar hemiarthroplasty can be recommended for the first treatment of intertrochanteric fracture.
Aged ; Aged, 80 and over ; Classification ; Diabetes Mellitus ; Dislocations ; Early Ambulation ; Femur ; Hemiarthroplasty ; Hip ; Hip Fractures ; Hip Prosthesis ; Humans ; Hypertension ; Incidence ; Jeollabuk-do ; Orthopedics ; Osteoarthritis ; Osteoporosis ; Paralysis ; Peroneal Nerve ; Pneumonia ; Pressure Ulcer ; Pulmonary Atelectasis ; Pulmonary Embolism ; Venous Thrombosis ; Walking ; Weight-Bearing

Measurement of various portions of the corpus callosum was performed on magnetic resonance(MR) images of 114 subjects with no known or suspected corpus callosal disorders. Midsagittal T1-weighted images used for measurements and mean diameters of various portions in each age and sex group were obtained. Measures of five portions were made : (A) the anterio-posterior length, (B) the diameter of genu portion, (C) the diameter of splenium, (D) the diameter of and mid-body portion, (E) the diameter of narrow portion at the body of corpus callosum. The mean diameter in each gender group for A, B, C, D, and E were 68.8mm, 12.1mm, 12.3mm, 6.9mm, 4.1mm in male and 69.9mm, 12.0mm, 12.1mm, 6.4mm, 4.1mm in female, respectively. The groups of 0-9 years of both genders showed the minimum mean value in each portion.
Corpus Callosum* ; Female ; Humans ; Male ; Sex Differentiation*

No abstract available.
Lung Neoplasms* ; Lung* ; Neoplasm Metastasis*

Various parameters obtainable from the M-mode echocardiograms were determined in 100 healthy young males, and a comparative study of the data with those of the previously reported was made. It was found that our data as a whole were in general agreement with the others.
Adult* ; Humans ; Male*

Lung Volumes and alveolorespiratory function were studied in 30 cases of pure or predominat mitral stenosis in slightly to moderately compromized state, and the results were compared with those in the normal controls. In patients with mitral stenosis, there was a singnificant reduction in the vital capcity and the total lung capacity, whereas the residual volume and its ratio to the total lung capacity were significantly increased. The distribution of inspired gas was uneven as reflected by increase in the lung clearnace index and in the slope of phase III of the single breath nitrogen washout curve. The alvelolar arterial oxygen tension gradient and the physiological dead space were singinificantly increased despite a singinificant decrease in the arterial carbon dioxide tension. The diffusing capacity was also reduced in some cases.
Carbon Dioxide ; Humans ; Lung* ; Mitral Valve Stenosis* ; Nitrogen ; Oxygen ; Residual Volume ; Total Lung Capacity

The pulse transmission times measured from polygraphic recordings of cardiac events were studied in 52 cases of female hyperthyroidism and 60 cases of normal females. The pulse transmission times measured in this study were M1-S, R-S and C-S intervals, i.e., the time intervals from the mitral first sound, the R wave of an electrocardiogram and the onset of the upstroke of the ventricular contraction in an apexcariogram to the finger tip, respectively, and the A2-C interval, and interval from the aortic second sound to the finer tip. The M1-S, R-S and C-S intervals, which were measured during systole, were significantly shortened in proportion to the severity of the disease, whereas the A2-C interval, which was a measurement during diastole, was well within normal limits. By correcting these observed values for the heart rate, the A2-C interval became significantly longer than in the control, apparently in proportion ot the severity of the disease. The M1-S, R-S and C-S intervals, however, were normalized by the correction. In the analysis of the correlation of these observed values to the age and the various hemodynamic parameters, it was noted that the A2-C interval was negatively correlated to the diastolic and mean blood pressure, which tended to be low in this condition, and was positively correlated to the age, but had no correlation to the heart rate or the systolic blood pressure. The A2-C interval also showed positive and negative correlation to left ventricular ejection time/isovolumic contraction time ratio and preejection period/left ventricular ejection time ratio, respectively. On the contrary, there was a tendency for the remaining intervals measured during systolic to be negatively correlated to the systolic blood pressure, which tended to be high, heart rate and age, as well as systolic time intervals. These facts suggested that the shortening of the M1-S, R-S and C-S intervals was caused primarily by the rapid heart rate and also by the systolic hypertension. It was strongly felt that the A2-C interval was of a limited value as an index of the pulse transmission in hyperthyroidism.
Blood Pressure ; Diastole ; Electrocardiography ; Female ; Fingers ; Heart Rate ; Hemodynamics ; Humans ; Hypertension ; Hyperthyroidism* ; Systole