From March, 1988 to August, 1989, the authors performed nasolacrimal duct reconstruction with Pyrex glass tube without bony perforation in 26 eyes of 25 patients who has chronic dacryocystitis with nasolacrinal duct obstruction. This method is implantation of permanent indwelling pyrex glasstube from base of the sac through the interosseous canal into the vault of inferior nasal meatus and there are several advantages in this method; The technique is more simple and less traumatic than other dacryocystorhinostomy, tear drainage inferioly prevents pooling of tear in inferior portion of lacrimal sac after surgery, normal anatomic relationships are retained and less postoperative care is required. The results were as follows: 1. Success was achieved in 24 of 26 cases including partial success. 2. Postoperative complications were developed that hypertrophic scar 2 cases, superficial punctate keratitis 1 case, wound infection 1 case, nasal bleeding 1 case.
Cicatrix, Hypertrophic ; Dacryocystitis ; Dacryocystorhinostomy ; Drainage ; Epistaxis ; Glass* ; Humans ; Keratitis ; Nasolacrimal Duct* ; Postoperative Care ; Postoperative Complications ; Tears ; Wound Infection

Using immunohistochemical technique, we observed time-sequentially to T and B lymphocyte in the ciliary body of the endotoxin induced uveitis in rat. The primary antibodies for immunohistochemical stain of the lymphocyte were IgM heavy chain, IgG heavy chain, T suppressor/cytotoxic (CD8) and T helper/macrophage (CD4) was performed in the frozen section. The intensity of immunohistochemical reaction for surface IgM positive cells increased from 12hours and reached most strong intensities at 24hours after endotoxin injection and then decreased rapidly, but the intensity for surface IgG positive cells increased from 48hours and sustained 96hours. There were no significant changes of intensity of immunohistochemical reaction for T cells except slightly increased T suppressor/cytotoxic cells (CD8).
Animals ; Antibodies ; Ciliary Body ; Frozen Sections ; Immunoglobulin G ; Immunoglobulin M ; Lymphocytes ; Rats* ; T-Lymphocytes ; Uveitis*

The Kniest syndrome is characterized by disproportionate dwarfism and Kyphoscoliosis which may be associated with flat facies with prominent eyes, cleft palate, hearing loss, myopia and limited joint motion. The skeletal abnormalities are recognizable at birth with shortening and deformity of the extremities and stiff joints. Marked lumbar lordosis and kyphoscoliosis develop in childhood, resulting in disproportionate shortening of the trunk. We experienced a case of kniest syndrome, confirmed by clinical features, radiological features, and histological examination of cartilage. A brief review of the related literature is presented.
Animals ; Cartilage ; Cleft Palate ; Congenital Abnormalities ; Dwarfism ; Extremities ; Facies ; Hearing Loss ; Joints ; Lordosis ; Myopia ; Parturition

No abstract available.
Bronchial Arteries* ; Hemoptysis*

Purpose: Malnutrition is a prevalent condition leading to a high risk of morbidity and mortality in hemodialysis patients. This study examined the malnutrition risk and the influence of diabetes on clinical characteristics, nutritional knowledge, and dietary intake in chronic kidney disease (CKD) patients on hemodialysis. Methods: Seventy-six patients (37 with diabetes and 39 without diabetes) enrolled in an internal medicine hemodialysis unit in Seoul were examined. A questionnaire, anthropometric, biochemical, and three-day dietary record data were collected. The nutritional risk was screened by the Patient-Generated Subjective Global Assessment (PG-SGA), compared to the Global Leadership Initiative on Malnutrition (GLIM). Results: The overall prevalence of malnutrition was 56.6% and 27.6% by PG-SGA and GLIM, respectively, showing the low sensitivity (34.9%) and agreement (kappa = 0.16) of GLIM compared to the PG-SGA. CKD patients with diabetes had a higher malnutrition risk and more comorbidities than those without diabetes (p < 0.05). More than 60% of patients had anemia and hypocholesterolemia. Despite the fair level of nutritional knowledge, the intakes of energy per ideal body weight, calcium, vitamin A, vitamin B 6 , folate, and vitamin C were below the nutritional guidelines for hemodialysis patients in more than 70% of the patients. When stratified according to sex, female patients showed marked differences, with lower energy, protein, fat, calcium, phosphorus, vitamin B 2 , folate, and vitamin B 12 intakes in diabetic patients compared to non-diabetic patients. The most challenging aspect of diet therapy for hemodialysis patients was achieving the appropriate protein intake for diabetic patients and restricting phosphorus intake for non-diabetic patients (p < 0.05). Conclusion These findings suggest that attention should be paid to the malnutrition of diabetic hemodialysis patients. Individualized nutritional counseling and management are needed for the nutritional care of hemodialysis patients to address the nutritional deficiency.

Purpose: Malnutrition is a prevalent condition leading to a high risk of morbidity and mortality in hemodialysis patients. This study examined the malnutrition risk and the influence of diabetes on clinical characteristics, nutritional knowledge, and dietary intake in chronic kidney disease (CKD) patients on hemodialysis. Methods: Seventy-six patients (37 with diabetes and 39 without diabetes) enrolled in an internal medicine hemodialysis unit in Seoul were examined. A questionnaire, anthropometric, biochemical, and three-day dietary record data were collected. The nutritional risk was screened by the Patient-Generated Subjective Global Assessment (PG-SGA), compared to the Global Leadership Initiative on Malnutrition (GLIM). Results: The overall prevalence of malnutrition was 56.6% and 27.6% by PG-SGA and GLIM, respectively, showing the low sensitivity (34.9%) and agreement (kappa = 0.16) of GLIM compared to the PG-SGA. CKD patients with diabetes had a higher malnutrition risk and more comorbidities than those without diabetes (p < 0.05). More than 60% of patients had anemia and hypocholesterolemia. Despite the fair level of nutritional knowledge, the intakes of energy per ideal body weight, calcium, vitamin A, vitamin B 6 , folate, and vitamin C were below the nutritional guidelines for hemodialysis patients in more than 70% of the patients. When stratified according to sex, female patients showed marked differences, with lower energy, protein, fat, calcium, phosphorus, vitamin B 2 , folate, and vitamin B 12 intakes in diabetic patients compared to non-diabetic patients. The most challenging aspect of diet therapy for hemodialysis patients was achieving the appropriate protein intake for diabetic patients and restricting phosphorus intake for non-diabetic patients (p < 0.05). Conclusion These findings suggest that attention should be paid to the malnutrition of diabetic hemodialysis patients. Individualized nutritional counseling and management are needed for the nutritional care of hemodialysis patients to address the nutritional deficiency.

Purpose: Malnutrition is a prevalent condition leading to a high risk of morbidity and mortality in hemodialysis patients. This study examined the malnutrition risk and the influence of diabetes on clinical characteristics, nutritional knowledge, and dietary intake in chronic kidney disease (CKD) patients on hemodialysis. Methods: Seventy-six patients (37 with diabetes and 39 without diabetes) enrolled in an internal medicine hemodialysis unit in Seoul were examined. A questionnaire, anthropometric, biochemical, and three-day dietary record data were collected. The nutritional risk was screened by the Patient-Generated Subjective Global Assessment (PG-SGA), compared to the Global Leadership Initiative on Malnutrition (GLIM). Results: The overall prevalence of malnutrition was 56.6% and 27.6% by PG-SGA and GLIM, respectively, showing the low sensitivity (34.9%) and agreement (kappa = 0.16) of GLIM compared to the PG-SGA. CKD patients with diabetes had a higher malnutrition risk and more comorbidities than those without diabetes (p < 0.05). More than 60% of patients had anemia and hypocholesterolemia. Despite the fair level of nutritional knowledge, the intakes of energy per ideal body weight, calcium, vitamin A, vitamin B 6 , folate, and vitamin C were below the nutritional guidelines for hemodialysis patients in more than 70% of the patients. When stratified according to sex, female patients showed marked differences, with lower energy, protein, fat, calcium, phosphorus, vitamin B 2 , folate, and vitamin B 12 intakes in diabetic patients compared to non-diabetic patients. The most challenging aspect of diet therapy for hemodialysis patients was achieving the appropriate protein intake for diabetic patients and restricting phosphorus intake for non-diabetic patients (p < 0.05). Conclusion These findings suggest that attention should be paid to the malnutrition of diabetic hemodialysis patients. Individualized nutritional counseling and management are needed for the nutritional care of hemodialysis patients to address the nutritional deficiency.

No abstract available.
Aging* ; Endocrine Cells* ; Neurons*

Femoral artery pseudoaneurysm, a very uncommon disease, is usually reported trauma, iatrogenic vascular intervention, and nail fixation in the treatment of fracture. The femoral artery is a major vessel for blood supply to the lower extremities. If the femoral artery is injured, the patient will experience cardiovascular collapse and hypovolemic shock due to massive hemorrhage. We report on the case of a 49-year-old male patient who had been diagnosed with systemic lupus erythematosus (SLE), who was admitted to our hospital with progressive swelling of the right thigh without any trauma history. A computed tomographic scan with arterial enhancement showed a large pseudoaneurysm of the right femoral artery, which was then treated successfully with great saphenous vein graft surgery.
Aneurysm ; Aneurysm, False* ; Femoral Artery* ; Hemorrhage ; Humans ; Lower Extremity ; Lupus Erythematosus, Systemic* ; Male ; Middle Aged ; Rupture* ; Saphenous Vein ; Shock ; Thigh ; Transplants

In order to explore the existence and distribution of phospholipase (PLC) isozymes in the rat retina, immunohistochemical staining was applied using monoclonal antibodies against PLC isozymes (PLC beta; K92, PLC gamma; D7, F7, PLC delta; R32, S11). For immunohistochemical detection, avidin-biotin peroxidase complex (ABC) method was performed on frozed tissue sections of rat retina. Our study showed that PLC isozymes have particular distributional patterns in the retina. Namely, PLC beta is broadly distributed in the outer and inner segments of photoreceptor cell layer, nuclear layer and ganglion cell layer. PLC gamma is mainly appeared in the nerve fiber layer, ganglion cell layer and inner nuclear layer. PLC delta is confined only in the ganglion cell layer. These results clearly demonstrate the PLC isozymes may have their own role in the transduction of light pathway in the retina. However, further studies will be required to verify theirs precise role in the photoreception.
Animals ; Antibodies, Monoclonal ; Ganglion Cysts ; Immunohistochemistry ; Isoenzymes* ; Nerve Fibers ; Peroxidase ; Phospholipase C beta ; Phospholipases* ; Photoreceptor Cells ; Rats* ; Retina* ; Type C Phospholipases*