The authors clinically analysed 317 industrial ocular injuries among 16,466 patients who visited department of ophthalmology of Masan Koryo General hospital during the 5 years from January 1, 1982 to December 31, 1986. The results were as follows: 1. The ambulation rate of industrial ocular injuries was 1.9% of all eye patients and 18.4% of all industrial injuries. 2. The incidence was higher in male(95.6%) and in the age of 3 rd decade(5.2%). 3. The incidence of affected side was 54.0% on the right, 37.5% on the left, and 8.5% on both sides. 4. There was no significant differences in seasonal distribution. 5. The most common cause of industrial ocular injuries was iron piece(32.8%) as a flying particle, followed by wire and nail(15.1%) and chemicals(8.2%). 6. Corneal foreign body(15.8%) was the most common disease of all industrial ocular injuries, followed by corneal laceration(12.7%) and thermal burn, conjunctiva and cornea(8.9%). 7. 29.3% of all industrial ocular injuries were hospitalized. Corneal laceration(21.0%) was the most common disease among in-patients and surgical procedures in in-patients included corneal suture(33.0%), lens extraction(17.5%), corneosclecral suture(13.6%). The average duration of hospitalization was 16.8 days. 8. The average duration of treatment required for all industrial ocular injuries was about 46.3 days. 9. The final visual acuity was improved to 0.9 or more in 45.3% and 34 eyes(9.9%) were below 0.1. 10. The most common complication of industrial ocular injuries after treatment was traumatic cataract(18.4%), followed by corneal opacity(16.8%) and irregular astigmatism(14.4%).
Burns ; Conjunctiva ; Diptera ; Hospitalization ; Hospitals, General ; Humans ; Incidence ; Iron ; Ophthalmology ; Seasons ; Visual Acuity ; Walking

No abstract available.
Dislocations* ; Tendons*

Tuberculosis of the thyroid gland is extremely rare with few cases reported in recent years. Tuberculosis may involve the thyroid gland in two main forms. The more common of theses is miliary spread to the thyroid as part of generalized dissemination and less commonly focal or caseous tuberculosis of the thyroid may occur, presenting as a nodule, as a thyroiditis, as a abscess, or as carcinoma like.We experienced two cases of tuberculosis of the thyroid gland presenting with palpable thyroid nodule in 26 year-old female and 65 year-old female patients. They have been clinically and biochemically euthyroid and their thyroid scans demonstrated a cold nodule at right thyroid gland. We found no evidence of tuberculosis elsewhere. The goiter was removed surgically and confirmed to be tuberculosis. They were medicated antituberculous agents after operation and followed up regulary out patient department.We report the cases of two patients with tuberculosis involving thyroid with reviews of literature.
Abscess ; Female ; Goiter ; Humans ; Thyroid Gland ; Thyroid Nodule ; Thyroiditis ; Tuberculosis

Hallermann-Streiff Syndrome is a rare congenital anomaly characterized by dyscephalia, dental anomalies, hypotrichosis, congenital cataract, bilateral microphthalmia and has characteristic feature of bird face due to marked mandibular hypoplasia and beaked nose. The authors have experienced a case of Hallermann-Streiff Syndrome combined with bilateral aphakia and glaucoma in a 34 years old woman and we report this case with the review of literatures.
Adult ; Animals ; Aphakia ; Beak ; Birds ; Cataract ; Female ; Glaucoma ; Hallermann's Syndrome ; Humans ; Hypotrichosis ; Microphthalmos ; Nose

BACKGROUND: In recent years, the incidence of extended-spectrum beta-lactamase (ESBL) producing Klebsiella has been steadily increased, and the newer species K. planticola and K terrigena, formerly regarded as nonpathogen, have been reported with astonishing frequency from human infectious processes by some investigators. The aim of this study is to elucidate the isolation rate and antimicrobial susceptibility of recent clinical Klebsiella isolates. METHOD: For the clinical Klebsiella isolates during the period of June 1999 to May 2000, isolation frequency of Klebsiella species by specimen, departments, age, and sex were analyzed. And antimicrobial susceptibilities were also analyzed. RESULT: Isolation rate of Klebsiella in order of decreasing frequency were K. pneumoniae (74:7%), K. oxytoca (12.1%), K. ozaenae(1.7%), K. planticola(1.0%), K. terngena(0.9%), and K, ornithinolytica (0.7%), respectively. K. rhinoscleromatis was not isolated. Compared with outpatients, increase of resistance rates of inpatients's Klebsiella isolates were 10% in ciprofloxacin, 15% in cefoperazone/sulbactam, and the others were ranged from 24% to 31%. Isolation rate of ESBL producing K. pneumoniae by double disk (DD) synergy test was 41%, and detection rates by antimicrobial agents were as follows: cefotaxime (95%), aztreonam (58%), and ceftriaxone (37%). Antimicrobial susceptibility rate with the exception of ampicillin and imipenem decreased from the range of 81%-96% on admission day to 29-62% after one week on admission. CONCLUSION: The isolation rates of K. planticola and K. terrigena were less than 1%. The proportion of ESBL producing K. pneumoniae was 41 %. And the vast majority of multidrug resistant Klebsiella including ESBL producing strains are acquired by hospitalization.
Ampicillin ; Anti-Infective Agents ; Aztreonam ; beta-Lactamases ; Cefotaxime ; Ceftriaxone ; Ciprofloxacin ; Epidemiology* ; Hospitalization ; Humans ; Imipenem ; Incidence ; Klebsiella pneumoniae ; Klebsiella* ; Outpatients ; Pneumonia ; Research Personnel

BACKGROUND: In recent years, the incidence of extended-spectrum beta-lactamase (ESBL) producing Klebsiella has been steadily increased, and the newer species K. planticola and K terrigena, formerly regarded as nonpathogen, have been reported with astonishing frequency from human infectious processes by some investigators. The aim of this study is to elucidate the isolation rate and antimicrobial susceptibility of recent clinical Klebsiella isolates. METHOD: For the clinical Klebsiella isolates during the period of June 1999 to May 2000, isolation frequency of Klebsiella species by specimen, departments, age, and sex were analyzed. And antimicrobial susceptibilities were also analyzed. RESULT: Isolation rate of Klebsiella in order of decreasing frequency were K. pneumoniae (74:7%), K. oxytoca (12.1%), K. ozaenae(1.7%), K. planticola(1.0%), K. terngena(0.9%), and K, ornithinolytica (0.7%), respectively. K. rhinoscleromatis was not isolated. Compared with outpatients, increase of resistance rates of inpatients's Klebsiella isolates were 10% in ciprofloxacin, 15% in cefoperazone/sulbactam, and the others were ranged from 24% to 31%. Isolation rate of ESBL producing K. pneumoniae by double disk (DD) synergy test was 41%, and detection rates by antimicrobial agents were as follows: cefotaxime (95%), aztreonam (58%), and ceftriaxone (37%). Antimicrobial susceptibility rate with the exception of ampicillin and imipenem decreased from the range of 81%-96% on admission day to 29-62% after one week on admission. CONCLUSION: The isolation rates of K. planticola and K. terrigena were less than 1%. The proportion of ESBL producing K. pneumoniae was 41 %. And the vast majority of multidrug resistant Klebsiella including ESBL producing strains are acquired by hospitalization.
Ampicillin ; Anti-Infective Agents ; Aztreonam ; beta-Lactamases ; Cefotaxime ; Ceftriaxone ; Ciprofloxacin ; Epidemiology* ; Hospitalization ; Humans ; Imipenem ; Incidence ; Klebsiella pneumoniae ; Klebsiella* ; Outpatients ; Pneumonia ; Research Personnel

Acute posterior multifocal placoid pigment epitheliopathy(APMPPE) was first described by Gass in 1968. This syndrome is characterized by sudden loss of central vision secondary to multifocal yellowish-white placoid lesion of posterior pole at the level of the pigment epithelium and significant visual improvement after spontaneous resolution within a few weeks. In the early arterial and arteriovenous phase of fluorescein angiography, choroidal fluorescence is blocked by the placoid lesion but becomes hyperfluorescent in the late venous phase due to staining of the lesion. We experienced and treated a case of acute posterior multifocal placoid pigment epitheliopathy associated with bilateral serous retinal detachment in 29 years old male patient, who had a good visual improvement.
Adult ; Choroid ; Epithelium ; Fluorescein Angiography ; Fluorescence ; Humans ; Male ; Retinal Detachment* ; Retinaldehyde*

Acute posterior multifocal placoid pigment epitheliopathy(APMPPE) was first described by Gass in 1968. This syndrome is characterized by sudden loss of central vision secondary to multifocal yellowish-white placoid lesion of posterior pole at the level of the pigment epithelium and significant visual improvement after spontaneous resolution within a few weeks. In the early arterial and arteriovenous phase of fluorescein angiography, choroidal fluorescence is blocked by the placoid lesion but becomes hyperfluorescent in the late venous phase due to staining of the lesion. We experienced and treated a case of acute posterior multifocal placoid pigment epitheliopathy associated with bilateral serous retinal detachment in 29 years old male patient, who had a good visual improvement.
Adult ; Choroid ; Epithelium ; Fluorescein Angiography ; Fluorescence ; Humans ; Male ; Retinal Detachment* ; Retinaldehyde*

Dentists ; Drainage ; Emergencies ; Fractures, Bone ; Humans ; Multiple Trauma ; Periodontal Diseases ; Replantation ; Root Resorption ; Social Control, Formal ; Tooth ; Tooth Avulsion ; Tooth Replantation

OBJECTIVE: to determine the frequency of the multiple consecutive rib fracture after blunt chest trauma. DESIGN, MATERIALS, AND METHODS: We retrospectively reviewed all the radiographs and medical charts of 87 patients with rib fractures after blunt chest trauma. Rib fractures were divided into single aud multiple. The multiple rib fractures were subclassified as consecutive, interrupted continuous, or random. RESULTS: Thirteen cases of single and 83 cases of multiple rib fractures were present. Among the 83 cases of multiple fractures, there were 73 cases (88%) of consecutive fractures, 5 cases (6%) of interrupted continuous fractures and 5 cases (6%) of random fractures. CONCLUSION: Among the multiple rib fractures consecutive rib fractrues are much more common than noncontiguous rib fractures. We recommend that if one find an apparently nonfractured rib between contiguously fractured upper and lower ribs, one should meticulously search for possible fracture of an apparently normal rib with high-index of suspicion.
Humans ; Retrospective Studies ; Rib Fractures* ; Ribs* ; Thorax*