The author reported in the previous pager on his observation of sudden death of Clonorchis sinensis cercaria before penetration into the body of fry such as Cyprinus carpio and Carassius auratus. And in these studies, the reason behind the fact was investigated and it was found that the mucous substances on the surface of a certain fishes have a strong wormicidal effect to the larva of C. sinensis. When cercariae of C. sinensis were immersed into the mucous substance of gold fish for three minutes 36 seconds to 4 minutes 20 seconds, into that of Aplocheilus latipes for 4 minutes 30 seconds to 5 minutes 20 seconds, into that of Cyprinus carpio for 5 minutes 15 seconds to 6 minutes l6 seconds, and into that of Carassius auratus for 5 minutes 20 seconds to 7 minutes 30 seconds, it was observed that they were all killed. No wormicidal effect against C. sinensis could be observed with the mucous substance obtained from Pseudorasbora parva, Misgurnus anguillicaudatus and Ophicephalus argus. No wormicidal effect against Metagonimus sp. cercaria is observed with the mucous substance obtained from Cyprinus carpio, Carassius auratus. The wormicidal effect of the mucous substances obtained from gold fish was destroyed when heated over 60 C. The movements of metacercaria of C. sinensis stopped after 10 minutes application of the mucous substance obtained from Cyprinus carpio and they were killed within 30 minutes. When the adult worms collected from the bile duct of experimentally infected rabbits for 20 to 60 days, were immersed into mucous substance from Cyprinus carpio, they were killed between 25 minutes and 35 minutes. No wormicidal effect could be observed with the mucous substance obtained from dead Cyprinus carpio, Carassius auratus, gold fish, when applied to the adult worms and larvae of C. sinensis.
parasitology-helmith-trematoda-Clonorchis sinensis, Metagonimus sp. ; Cyprinus carpio ; Carassius auratus ; Aplocheilus latipes ; Pseudorasbora parva ; Misgurnus anguillicaudatus ; Ophicephalus argus ; gold fish ; mucous substance

Cercariae of Clonorchis sinensis were attempted to penetrate into various fry of fresh water fishes in order to examine the conditions of infection and the further development in the fish. The following conclusions were made. Cercariae of C. sinensis penetrated into the muscle of the fry of Pseudorasbora parva were found to be able to develop. Cercariae penetrated into the fry of Pseudorasbora parva migrated into the organs of the fry to kill their host. From each dead individual of P. parva, more than 10 larvae of C. sinensis could be discovered. Cercariae attached on the Cyprinus carpio, Carassius and gold fish were almost killed before penetration into the body and even one or two cercariae penetrated were also killed as time passed. Cercariae of C. sinensis infected on the fry of Cyprinus Carpio, Carassius auratus and gold fish could not survive more than 60 days. Cercariae penetrated into Cyprinus carpio and Carassius auratus could not develop into complete metacercariae even after 3O days. Cercariae of Clonorchis sinensis penetrated into the fry of Aplocheilus latipes were killed within 10 hours and the cercariae attached on the caudal fin were destroyed in 2 hours. It was found that no cercariae of Clonorchis sinensis could penetrate into the body of the fry of Misgurnus anguillicaudatus.
parasitology-helminth-trematoda-Clonorchis sinensis ; cercariae ; Pseudorasbora parva ; Cyprinus carpio ; Carassius auratus ; gold fish ; Aplocheilus latipes ; Misgurnus anguillicaudatus ; mucous substance

A snail of the primary host of Clonorchis sinensis, distributed in the Korean Penninsula, has been called Bulimus striatulus (Benson) Shiba 1934, while that of China, the mainland of Asia, and of Japan has been called Parafossarulus manchouricus Bourguigant(Abbott l951, Sugihara l954). Having studied on the external character and radula of the snail collected from nine areas of Korea, including Kimhae, Jinyong, Namji, Ulsan, Kunsan etc.The author has not found any reasonable distinctions which set up different species between Korean species and Chinese or Japanese species although there exists some slight difference.
parasitology ; malacology ; helminth ; trematoda ; Clonorchis sinensis ; Bulimus striatulus ; Parafossarulus manchouricus ; Bourguigant

Between January 1986 and December 1995, 24 patients were treated surgically for thymoma. There were 17 males and 7 females, and their ages ranged from 23 to 69 years old and mean age was 49 years. Thymomas were associated with fourteen my asthenia gravis, and classified histologically as lymphocytic in 12 patients, mixed in 8, epithelial in 4, and classified clinically as stage I in 11, stage II in 4, stage III in 8 and stage VI in 1 patient. Eleven patients with non-invasive thymoma had received surgical resection, and 10 out of 13 patients with invasive thymoma were able to undergo complete resection. A partial resection or tissue biopsy followed by radiation or chemotherapy was done with the remaining three patients. Three died, four had improvement of symptom, two had relapse and fifteen had no symptom during follow up ranged from 25 days to 60 months. In fourteen cases of thymoma with myasthenia gravis, one died due to myasthenic crisis, two showed symptom aggravation, six had less medical treatment and five patients had medical treatment as same as dosage received preoperatively.
Aged ; Asthenia ; Biopsy ; Drug Therapy ; Female ; Follow-Up Studies ; Humans ; Male ; Myasthenia Gravis ; Recurrence ; Thymoma*

Recently, The non-penetrating injury of bronchus has been increased, especially by traffic accident. Early diagnosis and primary repair of bronchial injury not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. This report describes about a case of total collapse and consolidation of left lung with the complete transection of nearly bifurcated portion of left main bronchus , lasted for 2weeks after traffic accident. This was diagnosed by fiberbronchoscopy and 3-D chest computed tomography (CT). She underwent the sleeve resection and end to end anastomosis, and postoperative PEEP for 2 days, suctioning twice by fiberbronchoscopy, continue postural drainge and physiotherapy were applied. She had almost full expansion of the left lung at discharge.
Accidents, Traffic ; Bronchi* ; Delayed Diagnosis ; Early Diagnosis ; Lung ; Suction ; Thorax

Myxomas are the most common form of intracardiac tumors and are found primarily in the left atrium. In rare cases, Carney and associates have described a syndrome called "the complex of myxoma" consisting of cardiac myxoma, which characteristically is familial, in assocation with two or more of the follow conditions: myxomatous masses (cardiac myxoma, cutaneous myxosma, and mammary myxoid fibroademoma), spotty pigmented lesions of the skin, and endocrine disorders. We report a case of familial atrial myxoma with Carney's complex in a 19-year old woman who has spotty pigmentations on her face, and left atrial myxomas, and myxoma on the right nipple. Her mother and sister share the left atrial myxoma. The myxomas originated in the septum of the left atrium and the anterior leaflet of the mitral valve were successfully excised. In conclusion, family members of affected patients should be screened periodically with echocardiography in an attempt to identify asymptomatic cardiac myxomas. Complete excision and postoperative follow up are necessary to rule out the muticentricity and high rate of recurrent lesions.
Echocardiography ; Female ; Follow-Up Studies ; Heart Atria ; Heart Neoplasms ; Humans ; Mitral Valve ; Mothers ; Myxoma* ; Nipples ; Pigmentation ; Siblings ; Skin ; Young Adult

Primar99y cardiac tumors are rare and about 25% of primary cardiac tumors are malignant. A primary undifferentiated cardiac sarcoma, which very rare, is presented as follows: A 28-year old woman at the 32th week of pregnancy was admitted to the hospital because of dyspnea. A large intracardiac (left atrium) tumor was found with cardiac echocardiography and MRI. Emergency operation was performed under the diagnosis of left atrial myxoma. After Cesarean section, LA-tomy was done under the cardiopulmonary bypass. Tumor removal including endocardium of left atrium was done and final pathologic diagnosis was primary undifferentiated laft atrial sarcoma. After adjuvant radiotherapy, she has been followed up in out patient bases without problems up to now.
Adult ; Cardiopulmonary Bypass ; Cesarean Section ; Diagnosis ; Dyspnea ; Echocardiography ; Emergencies ; Endocardium ; Female ; Heart Atria* ; Heart Neoplasms ; Humans ; Magnetic Resonance Imaging ; Myxoma ; Pregnancy ; Radiotherapy, Adjuvant ; Sarcoma*

BACKGROUND: There are various tracheal diseseas which cause the obstruction of the trachea: postintubation tracheal stenosis, tracheal cancer, thyroid cancer, endotracheal tuberculosis, et al. Recently surgical resection and reconstruction of the trachea has been adopted as the safe method for tracheal lesions. MATERIALS AND METHODS: We report our experience and results of resection and reconstruction for various obstructive tracheal lesions in 38cases from 1985 to 1996. Length of resection of the trachea was up to 6 cm. Twenty lesions were approached by cervical collar incision, 12 lesions by cervicosternal incision and 4cases needed transthoracic approach. Surgical procedures consisted of resection and tracheotracheal anastomosis in 32 cases, resection and laryngotracheal anastomosis in 6cases and in addition laryngeal release was necessary to release anastomotic tension in 3cases. RESULTS: The complications were 4 minor wound infections, 2 mild suture line granulomas, 1 vocal cord palsy, 2 pneumonias and 1 systemic candidiasis. Two patients who had poor consciousness and pnemonia and one who developed systemic candidiasis were expired after operation. CONCLUSION: We suggests resection and reconstruction of trachea is optimal procedure for up to 6cm long tracheal lesions. However, for the patients with poor consciousness or poor general conditions would be the conservative treatment preferred to the tracheal reconstruction because of high serious complications and mortalities.
Candidiasis ; Consciousness ; Granuloma ; Humans ; Mortality ; Pneumonia ; Sutures ; Thyroid Neoplasms ; Trachea* ; Tracheal Stenosis ; Tuberculosis ; Vocal Cord Paralysis ; Wound Infection