No abstract available.

We have analyzed 100 urinary calculi by chemical analysis, which obtained from the patients admitted our department during the period from March, 1981 to February, 1983. The following results were obtained: 1. The results of chemical analysis of 100 urinary calculi revealed calcium oxalate phosphate in 43%, calcium oxalate in 19%, calcium phosphate in 15%, ammonium phosphate in 12%, carbonate calcium oxalate phosphate in 7%, uric acid in 2%, acid + calcium phosphate in 2%. 2. 40 of 100 patients with urinary stones showed bacteriuria and Staphylococcus epidermidis was the most frequent organism. 3. The causative diseases of the urinary stones were renal tuberculosis 4 cases, neurogenic bladder in 4 cases, urethral stricture in 3 cases, BPH in 1 case and hyperparathyroidism in 1 case. 4. The incidence of high urinary calcium amount was greater in lithiasis group(43%) than in control group(17%) The incidence of high urinary calcium amount in lithiasis group was as following order: calcium oxalate phosphate in 55.8%, calcium phosphate in 46.7%, calcium in 42.1% and ammonium phosphate in 28%.
Ammonium Compounds ; Bacteriuria ; Calcium ; Calcium Oxalate ; Carbon ; Humans ; Hyperparathyroidism ; Incidence ; Lithiasis ; Staphylococcus epidermidis ; Tuberculosis, Renal ; Urethral Stricture ; Uric Acid ; Urinary Bladder, Neurogenic ; Urinary Calculi*

Between November 2005 and March 2006, a total of 253 poultry flocks in the Gyeonggi-do of Korea were examined for seroprevalence against avian influenza (AI) using a hemagglutination inhibition (HI) test and an agar gel precipitation test. No low pathogenic avian influenza (LPAI) virus was isolated from 47 seropositive flocks that lacked clinical signs during sampling. The unadjusted percentage of seroprevalence rates of layer and broiler flocks were not significantly different, i.e., 26% (25/96) and 23% (22/97), respectively. The HI titer of the layers (mean = 89) was higher than the broilers (mean = 36; p < 0.001). A cross-sectional study was conducted for the seroprevalence of LPAI in the layers. Of 7 risk factors, farms employing one or more workers had a higher seropositive prevalence as compared to farms without hired employees (adjusted prevalence OR = 11.5, p = 0.031). Layer flocks older than 400 d had higher seropositivity than flocks younger than 300 d (OR = 4.9, p = 0.017). The farmers recognized at least one of the clinical signs in seropositive flocks, such as decreased egg production, respiratory syndromes, and increased mortality (OR = 2.3, p = 0.082). In a matched case-control study, 20 pairs of case and control flocks matched for type of flock, hired employees, age, and flock size were compared. Frequent cleansing with disinfectants was associated with a decreased risk of seropositivity (OR = 0.2, p = 0.022). Although there was a low statistical association, using a foot disinfectant when entering the building led to a decreased rate of seropositivity (OR = 0.3, p = 0.105).
Animals ; Cross-Sectional Studies ; Hemagglutination Inhibition Tests ; Influenza A Virus, H9N2 Subtype/*genetics ; Influenza in Birds/*epidemiology/*virology ; Korea/epidemiology ; Poultry ; Risk Factors ; Seroepidemiologic Studies

No abstract available.
Sphenoid Bone*

No abstract available.
Cleft Lip* ; Congenital Abnormalities* ; Lip* ; Nose*

Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.
Bays ; Brachial Plexus ; Cough ; Diagnostic Errors ; Dyspnea ; Hemoptysis ; Humans ; Lung ; Lung Neoplasms ; Manubrium ; Orthopedics ; Pancoast Syndrome* ; Ribs ; Rotator Cuff* ; Shoulder Pain ; Superior Vena Cava Syndrome ; Thorax

Erythromelalgia is a rare condition, of uncertain etiology, characterized by episodic erythema, intense burning pain and warmth of the hands and/or feet. We present here a case of erythromelalgia that was almost mistaken for lower leg pain of spinal origin. The diagnosis is based on a thorough history and physical exam during a painful episode along with diagnostic test to exclude other causes. A 69-year-old man developed recurrent attacks of redness, swelling and burning painful sensations of both feet. His symptom was aggravation of pain with warm water immersion. His symptom improved by antidepressant and steroid. To be learned an important general lesson is to pay attention to performing extensive diagnostic and therapeutic procedures. It should be appreciated that discontinuation of medication can also be used as a simple diagnostic test for clinical syndromes, such as erythermalgia.
Aged ; Burns ; Diagnostic Tests, Routine ; Erythema ; Erythromelalgia ; Foot ; Hand ; Humans ; Immersion ; Leg ; Sensation ; Water

Angiosarcomas are rare tumors that are derived from vascular endothelial cells. They may occur in various sites, including the skin, breast, visceral organs and deep soft tissues. The pleura usually a metastatic site from angiosarcomas. However, thirty one cases of primary pleural angiosarcomas have been reported worldwide. Here, we report a 61-year-old man with a primary angiosarcoma of the pleura with a brief review of the literature.
Breast ; Endothelial Cells ; Hemangiosarcoma* ; Humans ; Middle Aged ; Pleura* ; Skin

PURPOSE: Laparoscopic Burch colposuspension (LBC) is a feasible surgical procedure for stress urinary incontinence (SUI). Initially, transperitoneal laparoscopic Burch (TLBC) operation was performed, but lately, extraperitoneal laparoscopic Burch colposus pension (ELBC) has been developed as a minimally invasive procedure. The aim of this study is to compare the safety and efficacy of TLBC versus the ELBC in treating the women with SUI. MATERIALS AND METHODS: We retrospectively compared 13 cases TLBC with 30 cases ELBC performed between April 1995 and September 1998. Parameters of evaluation included operation time, length of postoperative hospital stay, postoperative catheter ization days, complications, and cure rate. RESULTS: There were no statistically significant differences between the two approaches in operation time and postoperative catheterization days. The postoperative hospital stay of ELBC was statistically shorter than that of TLBC. The mean times to follow-up were 51.2 months (TLBC) and 32.3 months (ELBC). At last follow-up, success rate were 11 of 13 (84.6%) of TLBC and 27 of 30 (90%) of ELBC. The postoperative complication rate were 8 of 13 of TLBC and 14 of 30 of ELBC. As results, ELBC and TLBC are considered as effective surgical method for stress urinary incontinence due to hypermobility. CONCLUSIONS: ELBC and TLBC are considered as effective surgical method for stress urinary incontinence due to hypermobility.
Catheterization ; Catheters ; Female ; Follow-Up Studies ; Humans ; Laparoscopy ; Length of Stay ; Pensions ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome ; Urinary Incontinence*

BACKGROUND: Despite improvement of mortality in acute myocardial infarcrtion, high mortality rate associated with cardiogenic shock remains essentially unchanged. We have reviewed our result of coronary intervention in 15 patients and found relative survival advantage. METHODS: Between Sep. 1992 and Aug. 1995, 15 consecutive patients(M. 10, F. 5) with cardiogenic shock in acute myocardial infarction were treated with coronary intervention using ballon PTCA. IABP was inserted in all patients prior to PTCA. RESULTS: 1) Most commonly found infarct related artery was left anterior descending artery(11) followed by right coronary artery(3) and left main coronary artery(1). 2) Successful reperfusion rate was 86.7%(13/15), and in-hospital mortality rate was 26.7%(4/15). 3) In-hospital mortality was higher in elderly patients compared with less than 70yaer old patients(0%(0/11)vs. 75.0%(3/4)(P < 0.05). 4) Mortality rate was lower in single vessel disease than multivessel disease(11.1%(1/9) vs. 50%(3/6) p<0.05). CONCLUSION: Although this study is uncontrolled, the date suggest that urgent coronary intervention for improving coronary perfusion may reduce mortality of acute myocardial infarction complicated by cardiogenic shock, particularly with single vessel disease and young age group.
Aged ; Arteries ; Hospital Mortality ; Humans ; Mortality ; Myocardial Infarction* ; Perfusion ; Reperfusion ; Shock, Cardiogenic*