No abstract available.
Child* ; Humans ; Hypertension*

The etiology of spontaneous hemarthrosis of the knee joint in elderly pattents is still unknown. This report discusses seven spontaneous hernarthroses, three that were managed witla conservative measures such as aspiration, rest and knee immobilization because of poor general condition and four in which arthroscopic evaluation and treatment were performed. These patients were elderly indi.viduals without an obvious history of trauma. The roentgenograms of each involved knee demonstrated degenerative osteoarthritic changes of knee joint. Arthroscopic examination revealed denuded articular cartilage and subchondral bone exposure in four operative cases and degenerative meniscal tear in one case of four. These patients underwent mthroscopic debridement and did not experience recurrenees of the hemarthrosis. We think that the origin of the bleeding was most likely from the subchondral cancellous bone which was exposed due to degenerative change of the knee joint and the senile changes of the vessels around the knee joint with aging process may contribute the spontaneous bleeding into the knee joints.
Aged* ; Aging ; Cartilage, Articular ; Debridement ; Hemarthrosis* ; Hemorrhage ; Humans ; Immobilization ; Knee Joint ; Knee*

No abstract available.

No abstract available.
Bronchi*

Tracheopathia osteoplastica is a rare, benign pathologic condition chahacterized the occurrence of numerous cartilage and bony nodules within the tissue of mucosa. We report a case of tracheopathia osteoplastica that involved both larynx and trachea. The patient was 73 years old male and had hoarseness. The neck CT showed thickened and irregular wall of the trachea extending to the level of the carina with multiple calcified nodules and plaques of bony density projecting into the lumen.
Cartilage ; Hoarseness ; Humans ; Larynx ; Male ; Mucous Membrane ; Neck ; Trachea

No abstract available.
Stevens-Johnson Syndrome*

Objectives: This study aims to examine the effect of adolescent suicide survivors’ experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard. Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8–19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018. Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the “non-suicide survivor with non-referral” and “suicide survivor with non-referral” groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21–2.89] and 4.59 (adjusted odds ratio= 4.59, 95% CI=2.02–10.42) times higher odds of suicide death, respectively, the “suicide survivor with referral” group showed no difference compared to the “non-suicide survivor with referral” group. Conclusion From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.

BACKGROUND: To investigate the possibie difference, if any, between office blood pressure(BP) and home BP may be important in the diagnosis and treatment of hypersensive patients. This report deails the difference between the two BP's and the usefulness of digital electronic sphygmomanometer(DES) for self-monitoring of home BP. METHODS: The BP's of 14 patients with essential hypertension were measured with mercury sphygmomanometers at outpatient department by physician and with DES at home(twice a day) by the patients. Patients were followed up every 2 weeks for 4 weeks and previous 2 weeks' average home BP's were compared with the office BP's of each 2 weeks' end. RESULTS: There was a significant difference between office and home BP(both systolic and diastolic) ; office average BP(151/95mmHg) was higher than home average BP(136/86mmHg). CONCLUSION: Caution may be needed in the interpretation of office BP unless it is measured several times after adequate rest.
Blood Pressure* ; Diagnosis ; Humans ; Hypertension ; Outpatients ; Sphygmomanometers*

No abstract available.
Aspirin* ; Epithelial Cells*

The Cholecystectomy is the treatment of choice in patients with acute cholecystitis, but non-surgical gall stone therapies, such as a percutaneous cholecystostomy (PC) should be attempted in high risk critically ill patient with acute cholecystitis. Forty critically ill patients with complicated medical and surgical problems underwent an emergency PC at kwanju christran Hospital between 1993 and 1996. Diagnosis were made based on clinical and sonographic findings. The PCs were performed for patients with septic shock (9 cases), severe pain due to gall bladder empyema (9 cases), severe medical problems with acute cholecystitis (16 cases), a previous operation history (3 cases), and refusal of surgery (3 cases). The PCs were successfully performed under ultrasound guidance, and symptoms of patients were improved within several days after the PC. There were no immediate technical complications. We measured the arterial blood gas and analyzed of several factors influencing the acid-base change before and after the PC. The values of the pH and the PCO2 changed with an increasing WBC count, the presence of jaundice, a positive blood culture, a decreasing platelet count, and hypotension but returned to normal within several days after the PC. Although we can not attach statistical significance to the findings, we found that the acid-base balance changed with severe acute cholecystitis, as well as with septic shock and that the clinical symptoms and hemodynamics were improved by the PC. In conclusion, a PC as a nonsurgical management may be the procedure of choice for nonsurgical management of high-risk patients with acute cholecystitis, and as a definitive treatment, a laparoscopic or open cholecystectomy should be performed when symptoms are improved and the patients become stable.
Acid-Base Equilibrium ; Cholecystectomy ; Cholecystitis ; Cholecystitis, Acute* ; Cholecystostomy* ; Critical Illness ; Diagnosis ; Disulfiram ; Emergencies ; Gallstones ; Gwangju ; Hemodynamics ; Humans ; Hydrogen-Ion Concentration ; Hypotension ; Jaundice ; Platelet Count ; Shock, Septic ; Ultrasonography