Slipped femoral capital epiphysis is the condition in which the femoral head begins to slip gradually off the femoral neck. After first discription of Ambrose Pare(1572), the world literature has presented many cases, usually more than one hundred in each clinic. Its incidence in Korea, however, is extremely rare and particularly it is difficult to find out the report of typical case. The author reports here a typical case of billateral slipped femoral capital epiphysis in a 17 year old boy with symptom duration of 2 years on right side and 6 months on left side. Physical examination showed his body stature to be normal and his genital organs to have no abnormalities. However, both hips revealed severe pain and limited range of motion, especially in internal rotation and abduction, which restricted his normal gait. Operative reduction of epiphysio-cervical distorsion was successful in the left hip. After skeletal traction of the left hip, an anatomical repositioning by intraarticular wedge rection osteotomy was maintained by 3 Knowles pins. 3 months postoperatively he resumed partial weight bearing on his left hip with little pain and improved range of motion. Further restoration of function can reasonably be expected.
Epiphyses ; Femur Neck ; Gait ; Genitalia ; Head ; Hip ; Humans ; Incidence ; Korea ; Male ; Osteotomy ; Physical Examination ; Range of Motion, Articular ; Traction ; Weight-Bearing

No abstract available.

Protermycin, the first molecular synthetic of tetracycline and chloramphenicol, has been given trial in 28 patients: acute gonococcal urethritis 10, nongonococcal urethritis 7, acute cystitis 6, chancroid 1 and postoperative cases 4. The doses ranged from 300 to 600 me daily. From this study, it was found that Protermycin proved itself to be most effective in nongonococcal urethritis which could not be treated satisfactorily by other antibiotics. Of 28 cases, 25 showed good result. The remaining 3 cases failed to respond.
Anti-Bacterial Agents ; Chancroid ; Chloramphenicol ; Cystitis ; Humans ; Tetracycline ; Urethritis

No abstract available.
Abdomen, Acute* ; Child* ; Humans

Lumbosacral radiculoplexopathy in colon cancer treatment is a very rare but serious complication after radiation. We report here a 66-year-old man with slowly progressive lower limb weakness which arose 30 years after local radiation treatment for colon cancer. Electrophysiological studies revealed signs of denervation confined to the lower limbs. Other causes were excluded by clinical presentation, serological, cerebrospinal fluid and imaging studies. This case shows that delayed radiation-induced lumbosacral radiculoplexopathy can occur 30 years after the initial treatment.
Colonic Neoplasms

No abstract available.
Chungcheongnam-do* ; Humans ; Infant* ; Sex Ratio*

This experiment was aimed to investigate the contractile responses of the fermoral artery to the electrical stimulation and the inhibitory effects of verapamil and papaverine on the electrical stimulation of the fermoral artery in the control (n=46) and the diabetic rabbits(n=40). Diabetic rabbits were made by and administration of alloxan (100 mg/kg) intravenously and sacrified 8 weeks later. Femoral arterial rings 3 mm in length were taken and mounted on the force-displacement transducer for the measurements of isometric tension. All experiments were done in the aerated (95% O2 with 5% CO2)biological chamber filled with Kreb's solution and the initial tension of 1.5g was applied to the rings. After 1 hour of equilibrium of the rings, the contractile responses of the electrical stimulation on the femoral arterial rings were taken without vasoactive drugs and then, under verapamil and papaverine solution. And we compared the morphologic findings of the vessels in the two groups in relation to the functional changes by transmission electron miroscopy. The results are as follows: 1. The contractile responses in the presence of verapamil or papaverine solutions to the electrical stimulation were lowed significantly in the fermoral arterial rings of the diabetic rabbits compared with that of the control rabbits (verapamil; 10M~10M: p<0.01, papaverine; 10M & 10M: p<0.01). 2. Transmission electron microphotographs showed many morphological differences of the femoral arteries between the control and the diabetic rabbits. These were irregularities of the internal elastic lamina and the hypertrophy of the cytoplasms of the smooth muscle cells. And also, there were many vacuoles in the cytoplasm of the endothelial cells, lateral to the internal elastic laminaes, and between the smooth muscle cells in the diabetic rabbit femoral artery. By this study, we found that the contractile responses of the femoral arterial rings to the electrical stimulation were decreased in the diabetic rabbits, and the vasodiatory effects of verapamil and papaverine on the electrically stimulated femoral arterial rings were also lowered in the diabetic rabbits compared with the control rabbits. These changes of the vasular responses of the diabetic vessel may be associated with morphological changes manifested by transmission electron microscopy or any other functional derangement of the vessels.
Alloxan ; Arteries ; Cytoplasm ; Electric Stimulation* ; Endothelial Cells ; Femoral Artery ; Hypertrophy ; Microscopy, Electron, Transmission ; Myocytes, Smooth Muscle ; Papaverine ; Rabbits ; Transducers ; Vacuoles ; Vasodilator Agents* ; Verapamil

In order to investigate the level of lead exposure of workers in litharge making industry and to evaluate how lead exposure, personal habit such as smoking and drinking affect the prevalence of lead related symptoms and other study variables, we investigate 114 workers(24 office workers and 90 lead exposed workers) in a litharge making industry. Study variables chosen were blood lead(PbB), zinc protoporphyrin in whole blood(ZPP), Hemoglobin(Hb), hematocrit (Hct), SGOT and SGPT. symptom questionnaires which had 15 lead exposure related symptoms were provided to all workers and filled up by themselves and reconfirmed by physician. The results obtained were as follows; 1. The mean value of PbB, ZPP and SGOT in lead exposed group were higher than those of non-exposed group, and there were no differences of means in other study variables. 2. The smoking and drinking rate of study subjects were 65.8% and 71.0% as a whole. Smoking rates were lower in non-exposed group than exposed group, but drinking rate were not. 3. There were no differences of mean values of study variables between smoker and non-smoker in non-exposed and exposed group, but there was a difference of mean value of SGOT between drinker and non-drinker in lead exposed group. 4. while the symptom prevalence of lead exposed group were higher in neuromuscular category than non-exposed group, those of non-exposed group were higher or same with exposed group in gastrointestinal and general symptom category. 5. The symptom prevalence of smoker were higher than non-smoker regardless of exposure. 6. The symptom prevalence of drinker were only higher in gastrointestinal symptom category than non-drinker. 7. In multiple stepwise regression analysis of lead related symptoms as dependent variable and blood lead, smoking habit, drinking habit and work duration as independent variables, drinking habit contributed to the gastrointestinal symptom category, whereas blood lead and smoking contributed to the neuromuscular symptom category. For the total symptoms work duration and smoking habit contributed significantly.
Alanine Transaminase ; Aspartate Aminotransferases ; Drinking ; Hematocrit ; Humans ; Prevalence ; Surveys and Questionnaires ; Smoke ; Smoking ; Zinc

A case of carbuncle of the left kidney is reported with a review of literature. The patient reported herewith was 19 years old student, who complained of fever, vomiting and the tenderness in the left flank. His urine specimen showed numerous pus cells and hematological studies revealed leucocytosis. On intravenous pyelography the left kidney appeared normal. However, dye excretion by the right idney was delayed and there was a compression deformity of the lower calyx and extravasation of the dye into the renal parenchyma of the lower pole. The history and clinical findings seemed consistent with a renal carbuncle. A nephrectomy was performed as the procedure of choice. The specimen revealed, on cut surface, a large necrotic area measuring 2.1 cm in diameter, which communicated with the lower calyx. Culture of the abscess disclosed colonies of staphylococcus.
Abscess ; Carbuncle* ; Congenital Abnormalities ; Fever ; Humans ; Kidney ; Nephrectomy ; Staphylococcus ; Suppuration ; Urography ; Vomiting ; Young Adult

No abstract available.
Animals ; Rats* ; Sepsis*