Residual pain is the crucial factor that incapacitates the victims of stable fractures of the dorsolumbar vertebral bodies. This paper was designed to investigate the incidence and location of the residual pain and to confirm the mechanism of it. Forty-two patients with old, stable fractures of the dorso-lumbar vertebral bodies have been analysed clinically and rediologically. Results obtained were as follows: 1. Thirty-two (76.2%) out of fourty-two patients complained of residual pain. 2. In fracture group of the dorso-lumbar junction, the residual pains appeared at both site of lumbar area. But in fracture group of the lower lumbar spine, the residual pain predominantly localized at the site of fracture. 3. In fracture group of the dorso-lumbar junction, the lordotic curvature of the lumbar spine and Ferguson angle increased. On the contrary, in the fracture group of the lower lumbar spine they decreased. 4. In group complaining of the residual pain, simple oblique view and flexion-extension view of the lumbar spine revealed facet subluxation of one or more than one facet joint. When the subluxation was at the joint between the fourth and fifth lumbar vertebra and the first sacral vertebra, the pars interarticularis was impinged by articular processes of the adjacent vertebrae. In addition, the sclerosis and narrowing of the pars interarticularis were noted. 5. It was suggested as the one of possible mechanism of the residual pain that compensatory hyperlordosis of the lumbar spine and subluxation of the facet joint resulted in so-called “facet syndrome” brought about the residual pain.
Humans ; Incidence ; Joints ; Sclerosis ; Spine ; Zygapophyseal Joint

No abstract available.
Heart* ; Thoracic Surgery*

Among the many causes producing lower back pain herniated nucleus pulposus and bulging disk have occupiedlarge percentaages and uniformly showed defect on lateral aspect of contrast filled thecal sac. But it isessential to differentiate each conditions from the other because of their different treatment methods.differentiation at metrizamide myelography between a diffusely bullging disk(unlikely to cause nerve rootcompression) and a herniated disk is based on the curature, extent, and multipllicity of the extradural deformityof the anterolateral margin of the contrast filled sac and o hte presence of fusiform widening of the most distalpart of the affected nerve root. The deformities caused by a bullging disk are round, usually symmetrical(aothoughoccasionally more prominent on one side), do not extend above or below the disk space, and can show multiple levelinvolvement; the nerve root is uniform in caliber and normal in size(although some of severe bulging show fusiformwidening of the most distal part of the affected nerve root). The deformities caused by a herniated disk isangular and extends cephalad and/or caudal to the level of the disk space; the affected nerve root is usuallywidened in its most distal visible part. A consecutive series of 50 patients with low back pain and no pasthistory of back surgery who did metrizamide myelography underwent spine CT and /or laminectomy. Using the criterialisted above for differentiation of bulging from herniated disk on metrizamide myelography, the myelographicdiagnosis was correct in 32(22 patients) of 34(24 patients) (95%) surgically and/or computed tomographicallyconfirmed bulging disks and in all 26 (100%) surgically and/or computed tomographically confirmed herniated disks.
Clothing ; Congenital Abnormalities ; Humans ; Intervertebral Disc Displacement ; Laminectomy ; Low Back Pain ; Metrizamide ; Myelography ; Spine

No abstract available.
Lung Neoplasms* ; Lung* ; Pneumothorax*

We herein report a 28-year-old woman with typical marginal keratoderma of the palms of 4 years duration. She denied any chronic pressure or trauma. Histological findings disclosed marked hyperkeratosis, parakeratosis, acanthosis, elongation of rete ridges, edema and capillary dilatations of papillary dermis, and infiltration of chronic inflammatory cells. There was no changes in collagenous and elastic fibers. Treatment with oral 13-cis retinoid and topical application of 0.02% flumethasone ointment containing 3%, salicylate resulted in only transit effect.
Adult ; Capillaries ; Collagen ; Dermis ; Dilatation ; Edema ; Elastic Tissue ; Female ; Flumethasone ; Humans ; Parakeratosis

No abstract available.
Lymphadenitis* ; Tuberculosis*

Ovarian leiomyoma is a rare form of the ovarian mesenchymal neoplasm and about 50 cases have been reported in the literature. It is believed that many cases may go unnoticed because they are usually small in size and frequently mistaken for the more common fibroma or fibrothecoma. Its origin is still controversial and many possibilities are considered including the smooth muscle in the blood vessel wall of the hilum or the multipotential ovarian stromal cell. Herein we describe two cases of ovarian leiomyoma with its characteristic histologic finding.
Blood Vessels ; Female ; Fibroma ; Leiomyoma* ; Muscle, Smooth ; Ovary* ; Stromal Cells

OBJECTIVE: The purpose of this study was to investigate clinical charactoristics of adenocarcinoma of the uterine cervix. STUDY METHODS: This study is a retrospective analysis of 103 patients with adenocarcinoma of cervix treated at the Kosin Medical center forom 1984 to 1993. RESULTS: The distribution by stage of disease included FIGO stage I, 51(49.6%); stage II, 32(31%); Stage III, 17(16.5%);Stage IV, 3(2.9%). The 2-year survival results for patients with stage I was 93.5%; stage II was 72.4%;stage III was 46.2% and stage IV was none survived. And 4 year survival results,'83.3/o, 591% and 33.3/o in stage I, II and III, reqxetively. The 4-year survivel rate varied significantly according to tumor size and lymph nade metastasis status-below 2cm 84.2%, 2cm~4cm 75%, above 4cm 0%: (stage I);negative node 91.3%, positive node 40% (stage I). The results of resurrent rate according to clinical stage was 11.8%, 25.8%, 84.6% and 100 % in stage I, ll, III and lV, respectively. CONCLUSION: Treatment strategies should be based on the stage of disease, tumor size, lymph node metastasis status and recurrent.
Adenocarcinoma* ; Cervix Uteri* ; Female ; Humans ; Lymph Nodes ; Neoplasm Metastasis ; Retrospective Studies

We observed and analysed relating problems concerned to 21 patients of the acute carbamate intoxications, visited the emergency room of cheonju Presbyterian Medical center, from Oct 1993 to july 1996. The results were as follows : 1) Male was more prevalent than female with a ratio of 2:1 in sex distribution and the highest incidence of age group was in third decade and sixth decade of age in male sex 2) the most common drug of intoxication was deltanet in 7 cases, the remainders were bassa in 3 cases, b.p in 3 cases, huradan, qratel and methomyl in 2 cases, each, in order of frequency. 3)Among the exposed carbamate in 13 patients with respiratory failure, detanet was the most common in 6 cases, b.p in 3 cases, methomyl in 2 cases, bassa and huradan each in 1 case. 4) The serum ChE activity of patients were significantly reduced compare to normal.8 patients were between 20~50% of normal,8 patients were above 50% of normal, 4 patients were between 10~20% of normal, only 1 patient was below 10~20% of normal. 5) In 13 patients with respiratory failure, seam ChE activities were below 50% of normal. 6) In all patients with respiratory failure except 1 case time to recovery of the respiratory failure was below 48hrs. 7) Mean dose of atropine administered within first full atropinization and fist 24 hours was significantly higher in patients with than patients without respiratory failure in staitistics(29.3+/-23.3mg, 54.5+/-49.5mg VS 7.6+/-3.6mg, 13.6+/-6.9m) 8) 3 patients among a total of 21 patients expired. So that motality rate was 14.3%. Among the expired cases, 1 patients discontinued treatment due to economic problems and only 2 patients died in hospital during the treatment.
Atropine ; Emergency Service, Hospital ; Female ; Humans ; Incidence ; Male ; Methomyl ; Protestantism ; Respiratory Insufficiency ; Sex Distribution

No abstract available.
Dislocations* ; Hip*