No abstract available.
Enterocolitis, Necrotizing* ; Soy Milk*

Since the 1960's, Korea has achieved rapid economic growth, longer life expectancy, accelerated urbanization and a westernization of diet. Cardiovascular disease has become the leading cause of death; however the prevalence of ischemic heart disease(IHD) remains low. A cross-sectional multiphasic screening service for 18,426 persons aged 30 64 years in a Medical Aid Program in Kyonggi-do Province was conducted from 1991 to 1993. Total cholesterol(TC), Fasting blood glucose(FBG), blood pressure(BP), and electrocardiographic(EKG) data were collected. The result as follows; 1. On the EKG findings, the age-adjusted prevalence of myocardial ischemia and myocardial infarction was 1.45% in men and 2.06% in women. 2. The mean blood pressure was 122.9/78.8mmHg. The age-adjusted prevalence of hypertension was 11.05% in men and 9.02% in women. The prevalence of hypertension showed increasing tendency according to age increase. In all age group, the prevalence of hypertension was higher in men than women. 3. The mean total cholesterol level was 184.4mg/dl in men and 189.2mg/dl in women. The age-adjusted prevalence of hypercholesterolemia was 4.88% in men and 5.67% in women. The total cholesterol level showed increasing tendency according to age increase, except 55 64 age group in men. 4. The prevalence of hyperglycemia is 5.8%. The age-adjusted prevalence of hyperglycemia is 6.72% in men and 4.50% in women. The prevalence of hyperglycemia showed increasing tendency according to age increase. 5. On the EKG findings, the prevalence of myocardial ischemia and myocardial infarction was higher in hypertension than normal, in all age group of men and women less than 40 years-old. Only in women more than 40 years-old, the prevalence of myocardial ischemia and myocardial infarction was higher in hypercholesterolemia and hyperglycemia. Nevertheless there is not statistical association between ischemic heart disease and previous risk factors in other age group, the prevalence of myocardial ischemia and myocardial infarction was higher in hypertension, hypercholesterolemia and hyperglycemia than normal. The result of this study suggest that relationships between major risk factor of ischemic heart disease and ischemic heart disease is similar to existing theory.
Adult ; Blood Glucose* ; Blood Pressure ; Cardiovascular Diseases ; Cause of Death ; Cholesterol* ; Diet ; Economic Development ; Electrocardiography* ; Fasting* ; Female ; Gyeonggi-do ; Heart ; Humans ; Hypercholesterolemia ; Hyperglycemia ; Hypertension* ; Korea ; Life Expectancy ; Male ; Multiphasic Screening ; Myocardial Infarction ; Myocardial Ischemia* ; Prevalence ; Risk Factors ; Urbanization

No abstract available.

No abstract available.
Inlays* ; Transplants*

The Association between myofascial pain syndrome and some tests was assessed in a cross-sectional study of 904 female telephone operators using video display terminals(VDTs). 105 cases were diagnosed as Myofascial pain syndrome with symptom questionnaire, laboratory examination and physician's physical examination and 550 controls were defined to show only musculoskeletal symptoms using NIOSH symptom criteria. Data on demographics, musculoskeletal symptom and visual analogue scale(VAS) were obtained by questionnaire. Anthropometric measurements, pressure pain threshold, Grip and Pinch strength and laboratory test were conducted. No significant difference between case and control at comparing of demographics, occupational history and body measurements were observed. But, Grip strength, pressure pain threshold and VAS showed the statistical difference between case and control. Age, pressure pain threshold of Rt. Upper trapezius and VAS were associated with myofascial pain syndrome in multivariate logistic regression analysis. This results suggest that, to diagnose of myofascial pain syndrome, the consideration of the objective aspects among patients' subjective symptom complaints through the VAS and pressure pain threshold is required.
Computer Terminals ; Cross-Sectional Studies ; Demography ; Female* ; Hand Strength ; Humans ; Logistic Models ; Myofascial Pain Syndromes* ; National Institute for Occupational Safety and Health (U.S.) ; Pain Threshold ; Physical Examination ; Pinch Strength ; Surveys and Questionnaires ; Superficial Back Muscles ; Telephone*

Acetazolamide, a selective-inhibitor of carbonic anhydrase. Has been shown to induce a rapid increase in cerebral blood flow by acidifying cerebral extracellular tluid in large doses. In order to assess the cerebral blood flow reserve, we investigated 14 patients with ischemic cerebrovascular disease using Tc-99m HMPAO SPECT before and after administration of acetazolamide.The patients after acetazolamide challenge showed variable pattems of vasodilating capacity which were classified as follows: group I. Accentuation of abnormal perfusion pattem; group II, no change in abnormal perfusion pattern: and group III. Blunting of abnormal perfusion pattern. Thirty-six percent of the patients studied qualified for group I. The p?tients in group I seem to have decreased vasodilating reserve in the area of cerebral ischemia. They are most likely to benefit by medical or surgical efforts to augment CBF delivery. Tc-99m HMPAO-SPECT with acetazolamide flow challenge may serve as an objective. Clinically accessible method for assessing blood flow reserve and as a kind of guide for the therapeutic strategy.
Acetazolamide* ; Brain Ischemia ; Carbonic Anhydrases ; Humans ; Perfusion ; Technetium Tc 99m Exametazime ; Tomography, Emission-Computed, Single-Photon

Brainstem auditory evoked potentials (BAEPs) were evaluated in 22 patients with tuberculous meningitis to determine the incidence of abnormal BAEPs in tuberculous meningitis and the possible effect of variable factors on the incidence of abnormal BAEPs. Of 22 patients tested, 19 (86.4%) had abnormal interpeak latencies in one or both ears. I-III interpeak latenies were increased in 14 patients (63.6%) and III-V interpeak latencies in 7 patients (31.8%). Meningeal enhancement in brain CT or MRI was significantly correlated with abnormal BAEPs, especially with I-III interpeak latencies.
Brain ; Brain Stem* ; Ear ; Evoked Potentials, Auditory, Brain Stem* ; Humans ; Incidence ; Magnetic Resonance Imaging ; Tuberculosis, Meningeal*

Visual evoked potentials (VEP's) were studied in 19 children with surgically verified sellar or parasellar masses (7 craniopharyngioma, 3 optic chiasmal glioma, 3 granuloma, 1 hematoma, 1 arachnoid cyst, 1 medulloblastoma, 1 pituitary adenoma, 1 Rathke's cleft cyst and 1 germ cell tumor). Abnormalities consistent with visual pathway dysfunction were recorded in 17 patients (89%). Absent responses or poor wave formations were noted in 7 patients and delayed P1 latency in 10 patients. Two patients, one with intrasellar Langerhans' cell granuloma and the other with pituitary adenoma, had normal evoked potentials. The incidence and the degree of abnormalities in VEP's roughly correlated with the visual acuity. Postoperative VEP's were recorded in 5 patients and showed improvement in 4 patients. VEP's might be helpful for postoperative follow-up in children with sellar or parasellar masses.
Arachnoid ; Child* ; Craniopharyngioma ; Evoked Potentials ; Evoked Potentials, Visual* ; Follow-Up Studies ; Germ Cells ; Glioma ; Granuloma ; Hematoma ; Humans ; Incidence ; Medulloblastoma ; Optic Chiasm ; Pituitary Neoplasms ; Visual Acuity ; Visual Pathways

We studied local cerebral blood flow with Tc-99m HMPAO SPECT in 15 patients with olivopontocerebellar atrophy(OPCA) and 15 age-matched control subjects without neurological desease. The diagnosis of OPCA was based upon the history and physical findings and upon the exclusion of other cerebellar ataxia by means of laboratory investigations. Computed tomographic scan and MRI revealed some degree of atrophy of the cerebellum in most patient with OPCA, and many also had atrophy of the brain stem. SPECT studies in these patients revealed decreased cerebral blood flow in the cerebellum in comparison with the normal control subjects(p<0.001). Two patients with minimal atrophy or no structural changes in the cerebellum also showed decreased perfusion. Tc-99m HMPAO SPECT may be useful as a diagnostic test in patients with OPCA. Some instances suggest that Tc-99m HMPAO SPECT may show abnormal finding earlier than other neuroimaging methods.
Atrophy ; Brain Stem ; Cerebellar Ataxia ; Cerebellum ; Diagnosis ; Diagnostic Tests, Routine ; Humans ; Magnetic Resonance Imaging ; Neuroimaging ; Olivopontocerebellar Atrophies* ; Perfusion ; Technetium Tc 99m Exametazime* ; Tomography, Emission-Computed, Single-Photon*

Two patients of a family, suffenng from frequent periodic paralysis, were evaluated. Their family history reveals seven affected members in three generations, with autosomal dominance pattern. Their earliest symptoms were noticed between 10-13 years of age. The serum potassium level fell during the attack. EMG demonstrated progresslve reduction in numer of motor units and drop off in the response of muscle fibers to stimuli. These findings were consistent with familial hypokalemic periodic paralysis. The clinical features, electron microscoscopic findings, and pathogenesis were also described.
Family Characteristics ; Humans ; Hypokalemic Periodic Paralysis* ; Paralysis ; Potassium