No abstract available.
Panax*

Of 375 newborn infants in Korea General Hospital in the period of 6 months from March 1 to August 30, 1976. 304 newborn infants were available for the study of serum bilirubin level at the third day of the birth. The followings are results analyzed: 1) The mean value of serum bilirubin level estimated is 10.6mg%. The incidence of neonatal jaundice is estimated as 95.4 percent. 2) The premature infants reveal a marked elevation of serum bilirubin level. Conditions with increased level of serum bilirubin in variable degree include vacuum suction and/or forcep delivery, high or low hematocrit value, low Apgar scores, artificial resuscitation, cephalhematoma and spontaneous premature rupture of the membrance. 3) No relationship in serum bilirubin levels between differences in sex, body weight, number of pregnacies and ABO blood groups of mother and infant is present in this study.
Bilirubin ; Blood Group Antigens ; Body Weight ; Hematocrit ; Hospitals, General ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infant, Premature ; Jaundice, Neonatal* ; Korea ; Mothers ; Parturition ; Resuscitation ; Rupture ; Suction ; Surgical Instruments ; Vacuum

No abstract available.
Abscess* ; Citrobacter koseri

Angiomyolipoma is considered by many authors to be a hamartoma, occurring in a sporadic form or in association with tuberous sclerosis. This lesion consists of thick walled blood vessels, smooth muscle, and mature adipose tissue in varying amounts. We have experienced a case of the angiomyolipoma composed of monotypic epithelioid cells. The patient was a 69-year-old female. Clinically, there was no evidence of tuberous sclerosis. Microscopically, the tumor was composed of polygonal cells with abundant eosinophilic granular or clear cytoplasm, pleomorphic nuclei, prominent nucleoli, and multinucleated giant cells. The tumor cells showed positive reaction for HMB45, CD68, smooth muscle actin, and S-100, and negative reaction for epithelial membrane antigen, cytokeratin, vimentin, desmin, CD34, estrogen receptor, and progesterone receptor. Ultrastructual analysis showed the presence of glycogen, mitochondria, and other microorganelles in neoplastic cells. Melanosome or premelanosome was not identified.
Actins ; Adipose Tissue ; Aged ; Angiomyolipoma* ; Blood Vessels ; Cytoplasm ; Desmin ; Eosinophils ; Epithelioid Cells ; Estrogens ; Female ; Giant Cells ; Glycogen ; Hamartoma ; Humans ; Keratins ; Kidney* ; Melanosomes ; Mitochondria ; Mucin-1 ; Muscle, Smooth ; Receptors, Progesterone ; Tuberous Sclerosis ; Vimentin

PURPOSE: To evaluate complications and refractive outcomes of implantation of a single-piece acrylic intraocular lens (SPA-IOL) in the ciliary sulcus during phacoemulsification complicated with posterior capsule tear (PCT). METHODS: This retrospective study included patients who visited our hospital from 2014 January to 2015 June with implantation of a SPA-IOL (RAYNER 920H Superflex) in the ciliary sulcus during phacoemulsification complicated with PCT. Patients had their IOL power reduced by 1 diopter (D) from that calculated for in-the-bag implantation. At 3 months after operation, best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA) and a refraction test were performed. RESULTS: PCT requiring implantation of IOL in the ciliary sulcus occurred in 17 eyes. Postoperative complications included corneal edema (3 eyes), anterior segment inflammation (1 eye), intraocular pressure elevations (3 eyes). However, improvements resulting from proper management and no significant IOL decentration were observed. At 3 months after operation, the mean spherical equivalent was -0.79 ± 0.39 D (-0.25 to -1.5 D), the mean UCVA was 0.77 ± 0.22 (0.4 to 1.0), and the mean BCVA was 0.94 ± 0.08 (0.8 to 1.0). CONCLUSIONS: Sulcus implantation of a SPA-IOL (RAYNER 920H Superflex) has no clinically significant complication, and the mean spherical equivalent after 3 months with a power reduction of 1.0 D was -0.79 ± 0.39 D (-0.25 to -1.5 D).
Corneal Edema ; Humans ; Inflammation ; Intraocular Pressure ; Lenses, Intraocular* ; Phacoemulsification ; Postoperative Complications ; Retrospective Studies ; Tears ; Visual Acuity

PURPOSE: To compare preoperative and postoperative thickness and to investigate the difference in the thickness change of corneal epithelium and stroma after cataract surgery through scleral tunnel incision. METHODS: Forty eyes of forty patients who were 40 years old or older and underwent small-incision superior scleral tunnel cataract surgery with phacoemulsification were included. Using the RTVue instrument (Optovue Inc., Fremont, CA, USA), corneal epithelial (ET) and stromal thicknesses (ST) of all subjects were measured preoperatively and at 3 days, 1 week, and 1 month postoperatively. Thicknesses were classified into 3 zones according to the distance from the vertex: central zone (within 2 mm), paracentral zone (2-5 mm diameter) and midperipheral zone (5-6 mm diameter). RESULTS: Mean central ST was 486.68 ± 25.15 µm, 535.16 ± 48.13 µm, 515.98 ± 44.07 µm, and 502.28 ± 34.87 µm preoperatively, and at 3 days, 1 week, and 1 month postoperatively, respectively (p < 0.001 for all). ST showed significant thickening in all three zones from 3 days to 1 month postoperatively (p < 0.001 for all). Mean central, paracentral, and midperipheral ET was 52.13 ± 3.41 µm, 50.42 ± 2.97 µm, 49.12 ± 3.05 µm at preoperatively and 51.03 ± 3.63 µm, 48.96 ± 3.62 µm, 47.67 ± 3.81 µm at 1 month postoperatively, respectively (p = 0.061, 0.006, 0.001, respectively), while there were no signficant changes in all three zones at 3 and 7 days postoperatively. Changes in ET and ST were prominent at the superotemporal incision site. CONCLUSIONS: After scleral tunnel cataract surgery, corneal edema was observed in the stroma immediately after surgery. There was no significant change at early times after surgery in the epithelium, and there was a decrease in the peripheral cornea at 1 month postoperatively. The change in ET was considered a compensatory change due to stromal edema and appeared between 1 week to 1 month postoperatively.
Cataract* ; Cornea ; Corneal Edema ; Corneal Stroma ; Edema ; Epithelium ; Epithelium, Corneal ; Humans ; Phacoemulsification

Patients with acute glomerulonephritis often are seen with signs suggesting heart failure. Whether these signs are due to fluid overload secondary to kidney damage only, or whether there is associated myocardial damage has not been elucidated. Twenty-two children with acute glomerulonephritis were studied by echocardiography during edematous phase of disease. Left ventricular function was normal in all childrem. The most consistent finding was enlargement of left atrium and left ventricle during the edematous phase. There was no correlation between blood pressure and the echocardiographic findings. This study suggest that signs of heart failure in acute glomerulonephritis are not due to myocardial damage but probably reflect fluid overload.
Blood Pressure ; Child ; Echocardiography* ; Glomerulonephritis* ; Heart Atria ; Heart Failure ; Heart Ventricles ; Heart* ; Humans ; Kidney ; Ventricular Function, Left

We observed 32 cases of viral hepatitis who were admitted to to pediatric ward of Korea General Hospital for 1 year from Oct. 1979 to Sept. 1980 and the following results are obtained. 1) Eight among 32 eases of viral hepatitis are positive for HBsAg in their serum samples tested by solid phase radioimmunoassay. 2) High ESR is found in 69.6% of cases with type A hepatitis. In type B hepatitis ESR within normal limit is 87.5% of cases. 3) Values for GPT are higher than those of GOT in 70.8% of patients with type A hepatitis. In type B hepatitis GOT higher than GPT are 87.5% of cases. 4) Elevated levels of TTT are observed in 83.4% of patients with type A hepatitis. In type B hepatitis TTT within normal limit is 75.0% of casses. We may conclude that ESR, SGOT, SGPT and TTT can be a very useful additional test as a diagnostic aid in the differentiation of the two types of viral hepatitis, when tested early in the disease.
Alanine Transaminase ; Aspartate Aminotransferases ; Hepatitis B Surface Antigens* ; Hepatitis* ; Hospitals, General ; Humans ; Korea ; Radioimmunoassay

No abstract available.
Aged ; Common Bile Duct/*pathology ; Common Bile Duct Diseases/*diagnosis/pathology/ultrasonography ; Diagnosis, Differential ; Female ; Humans ; Hyperplasia ; Magnetic Resonance Imaging ; Polyps/*pathology ; Positron-Emission Tomography ; Tomography, X-Ray Computed

Purpose: To determine the risk factors of meibomian gland loss in dry eye disease. Methods: The medical charts of 229 dry eye disease patients who had a meibography were retrospectively reviewed. They were divided into 4 groups according to the degree of meibomian gland loss. Telangiectasia and irregularity of eyelid margin, Ocular Surface Disease Index (OSDI), non invasive breakup time (NIBUT), lipid layer thickness (LLT) and tear meniscus height (TMH) were compared. Age, gender, history of eyeline tattoo, history of hypertension, diabetes, dyslipidemia, chemotherapy, radiation therapy, hormone therapy and autoimmune diseases were also investigated to analyze the correlation with the severe meibomian gland loss. Severe meibomian gland loss was defined as loss of more than 75% of the conjunctival area, and risk factors were evaluated using logistic regression analysis. Results: Comparing the four groups divided according to the degree of meibomian gland loss, the group with severe meibomian gland loss was older (p = 0.001), had lower LLT (p < 0.001), had a higher frequency of eyeline tattoos. The ratio of hyperlipidemia (p < 0.001) and chemotherapy (p < 0.001) was also high in the group with severe meibomian gland loss. As a result of multiple logistic regression analysis, age, eyeline tattoo, hyperlipidemia, and chemotherapy were variables that had a significant effect on sever meibomian gland loss. (p < 0.05) Conclusions Age and history of eyeline tattoo, hyperlipidemia, and chemotherapy are significant variables that cause severe meibomian gland loss in dry eye disease patients. J Korean Ophthalmol Soc 2023;64(12):1152-1157