No Abstract Available.

We investigated the intraocular pressure(IOP) lowering effect and side effects of 2% dorzolamide(Trusopt) as adjunctive therapy in 18 eyes of 11 glaucoma patients and 10 eyes of 10 normal subjects. For those patients who have taken beta-blocker at least 2 weeks in glaucoma or ocular hypertension, we measured IOP before dorzolamide start and after dorzolamide instillation, every 2 hours from 10 AM to 4 PM for 3 weeks and evaluated the side effects. In normal subjects, we Measured the same method of IOP for 2 weeks and evaluated the side effects. In patients with glaucoma or ocular hypertension, mean IOP was lowered 4.4 mmHg after 2% dorzolamide instillation(P<0.01). There was no change in pulse rate, blood pressure and corneal sensitivity before and after instillation. There was no significant IOP lowering effect on normal subjects(p>0.05). The common side effects were bitter taste, burning sensation, redness, tearing and dryness. Above these results, we think 2% dorzolamide is effective as adjunctive therapy in glaucoma and more follow-up and treatment is needed to establish the fact.
Blood Pressure ; Burns ; Follow-Up Studies ; Glaucoma ; Heart Rate ; Humans ; Ocular Hypertension ; Sensation ; Tears

Chylous leakage is an extremely rare complication of surgery for breast cancer. We experienced a case of chylous leakage after axillary lymph node dissection. A 38-year-old woman with invasive ductal carcinoma in the left breast underwent a modified radical mastectomy after four cycles of neoadjuvant chemotherapy. The postoperative serosanguinous drainage fluid became "milky" on the fourth postoperative day. After trying conservative management, we re-explored the axilla and ligated the lymphatic trunk. Although the success of many cases supports conservative management, timely surgical intervention represents an alternative in cases where leakage persists or where the output is high.
Adult ; Axilla ; Breast ; Breast Neoplasms ; Carcinoma, Ductal ; Chyle ; Drainage ; Female ; Humans ; Lymph Node Excision ; Lymph Nodes ; Mastectomy, Modified Radical

No abstract available.

No abstract available.
Adenoids* ; Carcinoma, Adenoid Cystic* ; Lacrimal Apparatus*

To compare the preoperative and postoperative anterior chamber (AC) angle in cataract surgery, we performed phacoemulsification followed by posterior chamber intraocular lens (PCIOLs) implantation with 20 eyes (Group I) and planned extracapsular cataract extraction (p,ECCE) followed by PCIOLs implantation with 20 eyes (Group I). After that, we measured prospectively the preoperative and postoperative AC angle 1, 3, 7, 30 and 60 days by using a Scheimpflug camera. The preoperative mean values of AC angle were 3 1.25 3. 47 in Group I and 30. 58+/-4. 42` in Group I. The mean deepening of the AC angle was 3.24` in Group ! and 3.30` in Group n , the charnber angle quotient. was 1.10 in Group 1 and 1.15 in Group I at the postoperative one day. There was statistically significant difference (P<0.01). At postoperative third day, AC angle increase was 3.00` and 2.35`, AC angle quotient was 1.09 and 1.97 respectively (P<0.01). There was slight increase at postoperative 7, 30 and 60 day, but no significant difference between Group 1 and Group I was noted in change of AC angle (P>0. 5). Based on these results, the deepening of AC angle after cataract surgery may be considered for cataract. extraction and posterior displacement of PCIOLs due to anterior angulation of PCIOLs haptics.
Anterior Chamber* ; Cataract Extraction* ; Cataract* ; Lenses, Intraocular ; Phacoemulsification* ; Prospective Studies

PURPOSE: The purpose of this study is to evaluate the radiologic and clinical outcomes after tension band wire fixation of Neer type II distal clavicle fractures. MATERIALS AND METHODS: Twenty-six patients with Neer type II distal clavicle fractures who underwent tension band wire fixation from March 2002 to May 2011 were included in the study. Fifteen cases were classified as Neer type IIa and 11 cases as type IIb. The postoperative mean follow-up period was 14.3 months. Clinical and radiologic evaluation was performed at two weeks, six weeks, three months, six months, and 12 months postoperatively. RESULTS: Bony union on X-rays was observed at an average of 11.7 weeks (range 8-20 weeks) postoperatively. The overall visual analogue scale score for pain was 1.23+/-2.75 postoperatively. The overall postoperative University of California at Los Angeles score increased to 33.5+/-2.15 from the preoperative score of 21.6+/-1.91 (p<0.05). CONCLUSION: Among various methods of treatment for Neer type II distal clavicle fracture, K-wire and tension band fixation was used and relatively satisfactory radiological and clinical results were obtained. This surgical method yields excellent clinical results, owing to its relatively easy technique, fewer complications, and allowance of early rehabilitation.
California ; Clavicle* ; Follow-Up Studies ; Humans ; Rehabilitation

PURPOSE: This study was planned to evaluate that a lecture employing medical drama could motivate students to have an interest in the professionalism of healthcare personnel, which has currently become a critical subject in the field of medical education. METHODS: We analyzed subject headings, learning objectives, and further plans developed by students and their responses after two drama modules, 'car crash' and 'refusal of instruction', which were selected based on the conditions made by our faculty members, were given through video or paper to our 121 second-grade medical and nursing students in year 2012. RESULTS: Meaningful subject headings and learning objectives developed by students were 58.2%~60.0% and 36.8%~38.0% and significantly more in the 'refusal of instruction' than the 'car crash' (p=0.000). According to the students' major, medical students developed significantly more than nursing students (p=0.000). In the analysis of responses, 91.7% of students reported as impressive to the educational modules and 55.3% of them described their ideas associated with healthcare professionalism. CONCLUSION: Our study results suggest a possibility that the educational module employing selected medical drama could motivate students' healthcare professionalism.
Delivery of Health Care* ; Drama* ; Humans ; Learning ; Students, Medical ; Students, Nursing ; Subject Headings

After laparoscopic surgery, most cases of incisional hernia occur when a trocar greater than 10 mm is used and this rarely occurs when a 5 mm trocar is used. We recently experienced two cases of incisional herniation at a 5 mm port site in connection with withdrawal of the drain after laparoscopic procedure.
Hernia ; Laparoscopy ; Surgical Instruments

After laparoscopic surgery, most cases of incisional hernia occur when a trocar greater than 10 mm is used and this rarely occurs when a 5 mm trocar is used. We recently experienced two cases of incisional herniation at a 5 mm port site in connection with withdrawal of the drain after laparoscopic procedure.
Hernia ; Laparoscopy ; Surgical Instruments