PURPOSE: Febrile seizures(FS) are the most common form of childhood seizures and their prognosis are favorable. Despite the fact, there are still some concerns that prolonged febrile seizures may cause brain damages or neurological sequelae, which may be associated with the development of mesial temporal sclerosis and intractable temporal lobe epilepsy in later life. The aim of this study was to evaluate the clinical characteristics and outcomes in children with febrile status epilepticus(FSE). METHODS: 39 children aged 6 months to 5 years were enrolled in this study, who presented with FSE at Kyungpook National University Hospital, from January, 2000 to December, 2004. They were compared with 250 children who presented with the first episodes of FS at the same period. We reviewed retrospectively the medical records for the clinical characteristics and outcomes of the two groups. RESULTS: There were no statistically significant differences between the two groups in terms of age, etiology, degree and duration of fever, type of seizure, family history of FS or epilepsy, EEG and MRI findings, and recurrence rates of FS. Children with FSE were more likely to have neurological sequelae(12.5% vs. 2.4%; P=0.008), to develop afebrile seizures(21% vs. 4%; P=0.00) and to take anticonvulsants chronically(33% vs. 2%; P=0.00) than children with FS. CONCLUSION: Our results indicate that prolonged febrile seizures are associated with unfavorable neurological outcomes compared with simple febrile seizures. However, long-term, and extensive follow-up studies are needed to find out the relationship between prolonged febrile seizures and subsequent mesial temporal sclerosis as well as intractable temporal lobe epilepsy.
Anticonvulsants ; Brain ; Child* ; Electroencephalography ; Epilepsy ; Epilepsy, Temporal Lobe ; Fever ; Follow-Up Studies ; Gyeongsangbuk-do ; Humans ; Magnetic Resonance Imaging ; Medical Records ; Prognosis ; Recurrence ; Retrospective Studies ; Sclerosis ; Seizures ; Seizures, Febrile ; Status Epilepticus*

OBJECTIVES: To study the distributions of pH and gas values in umbilical arterial(UA) blood of normal newborns following uncomplicated pregnancies and vaginal births. Methods: In 457 consecutive normal term infants who were born between March 1995 and June 1998, we examined the UA pH and blood gas values obtained immediately following delivery. Maternal inclusion criteria were defined as an uncomplicated singleton pregnancy and a normal full term spontaneous vaginal delivery. And also neonatal inclusion criteria were defined as a normal intrauterine growth appropriate for gestational age without any malformations and Apgar score of 7 or more at both one and five minutes after birth. Umbilical artery blood samples were collected at each birth and were evaluated for pH, carbon dioxide pressure (PaCO2), oxygen pressure (PaO2) and actual bicarbonate. RESULTS: Histogram of UA pH value resemble normal distribution curve. The lowest UA pH was 7.04 and the 10th percentile value was 7.23. The median UA pH was 7.31 and 5% was below 7.20. The lowest UA PaO2 was 4.6mmHg and the 10th percentile value was 11.5mmHg. The highest UA PaCO2 was 67.2mmHg and the 90th percentile value was 56.5mmHg. The lowest bicarbonate value was 13.2mmol/L and the 10th percentile value was 18.4mmol/L. CONCLUSION: The distributions of the UA pH and gas values of the collective of normal newborns were illustrated. None of the UA pH was below 7.0.
Apgar Score ; Blood Gas Analysis* ; Carbon Dioxide ; Gestational Age ; Humans ; Hydrogen-Ion Concentration ; Infant ; Infant, Newborn* ; Oxygen ; Parturition ; Pregnancy ; Umbilical Arteries*

PURPOSE: The purpose of this study was to investigate the relationship between depression and life satisfaction of the middle aged man. METHOD: The study was designed as a descriptive correlation study. Data were collected using a structured questionnaire which included general characteristics, depression, and life satisfaction. Data collection was done between Oct. 28 and Nov. 28 on the 145 middle aged man. RESULT: The degree of depression of the subjects was 8.98 and life satisfaction was 10.52 on the average. About 8% of the subjects was included in the depression group. There was a negative correlation between depression and life satisfaction of the subjects and it was statistically significant. CONCLUSION: Therefore, it should be developed the nursing program for qualitative life of middle aged man.
Data Collection ; Depression* ; Humans ; Middle Aged ; Nursing ; Statistics as Topic

PURPOSE: To evaluate the characteristics of CT findings in differential diagnosis of cervical lymphadenopathy. MATERIALS AND METHODS: We evaluated CT findings of histopathologically proved 32 cases of tuberculous lymphadenitis, 12 cases of nodal lymphoma, 29 cases of metastasis from March 1986 to Dec. 1992, retrospectively. We analyzed age and sex distribution, location of lymphadenopathy, internal nodal density, feature of contrast enhancement, extracapsular spread and nodal calcification. RESULTS: Tuberculous lymphadenitis was more preponderant in young female (mean;32) and CT showed internal low density(91%) with irregular thick marginal enhancement(46.9%), predilection for spinal accessory node(71.9%), and nodal calcification(5/32). Nodal lymphoma showed predilection for internal jugular chain (100%) and had conglomerated homogeneous internal node structures(83%). Metastasis showed old male preponderance (mean :52 years), predilected at internal jugular chain(89.7%),internal low density(93.3%) with regular thin marginal enhancement(44.8%), extracapsular spread(41.4%), and nodal calcification(2 cases of nodal metastasis of papillary type thyroid cancer). CONCLUSION: We concluded that CT evaluation of the chracteristics of lymphadenopathy is helpful for differential diagnosis of cervical lymphadenopathy.
Diagnosis, Differential* ; Female ; Humans ; Lymphatic Diseases* ; Lymphoma ; Male ; Neoplasm Metastasis ; Retrospective Studies ; Sex Distribution ; Thyroid Gland ; Tuberculosis, Lymph Node

After development of antituberculous chemotherapy, the prevalence of tuberculous spondylitis has been reduced dramatically, but still this problem has remained as a serious infectious disease in developing areas. For the period of 8 years from January 1972 to December 1979, 148 patients who were treated for tuberculous spondylitis at Wonju Christian Hospital, College of Medicine, Yonsei University, were studied retrospectively and the results are summarized as follows: 1. The prevalent age was under 15 years (41.3%) 2. The lag period to treatment in most cases was one to six months(60.8%) 3. The most common site was thoracolumbar junction (37.2%) and the 10th thoracic vertebrae was especially affected. 4. There were 43 cases of associated tuberculous lesions (29.1%) 5. The involved numbers of vertebral bodies were 3.4 in the child and 2. 3 in the adult. 6. Initial checking of erythrocyte sedimentation rate for patients with tuberculous spondylitis showed over 15 mm/hr in 79.3%, but 77.1% patients on post-operative follow-up came within the normal limit. 7. There were 30 early paraplegics. 8; There were 10 complete and 21 incomplete paraplegics and the spastic type was more common than the flaccid type. 9. The recovery rate from paraplegia was 90.5% in incomplete paraplegics and 80.0% in complete paraplegics. 10. The kyphotic angle was checked by means of Konstams angle. Results were as follows: Total mean changes in angle were 12.9, 2.7, and 1.5 after debridement, anterior fusion and posterior fusion respectively in the adults, and in the children each total mean changes in angle were 7. 2, 4. 0 and 2. 0 respectively.
Adult ; Blood Sedimentation ; Child ; Clinical Study ; Communicable Diseases ; Debridement ; Drug Therapy ; Follow-Up Studies ; Gangwon-do ; Humans ; Muscle Spasticity ; Paraplegia ; Prevalence ; Retrospective Studies ; Spondylitis ; Thoracic Vertebrae

Injuries to the ankle or various disease in ankle are one of the most common musculoskeletal problem. The ankle is amazingly tolerant to at least minor anatomic disruption. But in situation of severed ankle it is the anxious problem to solve the pain, disability and so on. Since past time, ankle fusion can solve the pain problem, and there is little disabiiity from walking on standard surfaces, comparing the ankle arthroplasty. So we analyse 48 cases of the ankle fusion at Wonju Christian Hospital, Yonsei University College of Medicine for ten years. The results are summerized as follows: l. Applying method for fusion are distraction-compression bone graft arthrodesis, Charnley compression method, extraarticular arthrodesis, anterior sliding graft-21, 16, 2 and 9 cases respectively. 2. Post-operative complications are wound infection, loss of position of grafted bone, skin necrosis, fracture of the grafted bone and phlebitis
Ankle ; Arthrodesis ; Arthroplasty ; Gait ; Gangwon-do ; Humans ; Immobilization ; Joints ; Methods ; Necrosis ; Osteoarthritis ; Phlebitis ; Skin ; Talus ; Tarsal Joints ; Transplants ; Walking ; Wound Infection

62 cases of the fracture of the pelvis admitted to the orthpedic department of Wonju Christian Hospital during past 5 years from 1975 to 1979 were reviewed and clinical results were obtained as follows: 1. Males were frequent than females and almost 3rd to 4th decades of life. 2. The causes of injury were traffic accident, coal minor accident, and falling. 3. Stable type is the most common in this series and among the unstable types, lateral compression type is the most common and then straddle type and vertical shear type. 4. The most common complication is uro-genital injury. 5. The residual complications at the end of treatment remained in some cases, Arthritis of sacroiliac joint, Impotence, Urethral stricture, Low back pain, etc. 6. All of the cases were treated conservatively and their results were somewhat good except 4 cases. 7. Surgical treatment would be considered, if necessory, to decrease the complications and reduce hospital days.
Accidental Falls ; Accidents, Traffic ; Arthritis ; Coal ; Erectile Dysfunction ; Female ; Gangwon-do ; Humans ; Low Back Pain ; Male ; Pelvic Bones ; Pelvis ; Sacroiliac Joint ; Urethral Stricture

No abstract available in English.
Dislocations ; Knee Joint ; Knee

No abstract available in English.
Acromioclavicular Joint ; Dislocations ; Methods

A clinical study of 147 clavicle fracture patients (one patient had bilateral fractures) who were admitted and treated by the Department of orthopedic surgery of Wonju Christian Hospital, Wonju Medical College, Yon Sei University. The period covered was from September 1974 to August 1981, a total of seven years. The study focused on three fertors in relation to the pain and limitation of motion and these causes were comminution of fracture, shortening of the clavicle length and external deformity. The results were as followings; l. Of the 148 cases, 125 were male and 22 female (one with bilateral fractures). The majority were between 31 and 40 years of age. 2. The mid 1/3 fracture was most common and both sides showed no difference in incidence(left ; 73 cases, right; 75 cases). 3. The mean follow up ranged from 4 months to H3 months with a mean 49.5 months. 4. The complications resulting from comminution, shortening of clavicle length and malunion were shoulder joint pain-16 cases (10.8%), limitation of motion-17 cases(11.5%) and external deformity-18 cases(12.9%). 5. Using a rating scale of excellent(no apparent factors), good( one factor), fair(two factors), poor(more than three factors) the results showed, 106 excellent, 31 good, 9 fair and 2 poor. 6. On a percentage scale, the pain showed difference of 9 times with initial comminution, 7 times with shortening of clavicle length and 7 times with deformity. 8. On a percentage scale, the limitation of motion of shoulder joint showed difference of 6 times with initial comminution, 6 times with shortening of clavicle length and 17 times with deformity.
Clavicle ; Clinical Study ; Congenital Abnormalities ; Female ; Follow-Up Studies ; Gangwon-do ; Humans ; Male ; Orthopedics ; Shoulder Joint