We performed a clinical observation on the 208 cases of infectious hepatitis who were cared at the pediatric department of Fatima Hospital from July, 1, 1970, to June, 30, 1977, and obtained the following results. 1. The ratio of infectious hepatitis to the total number of in-patients was 3.25 in average. 2. There was no significant difference in seasonal incidence except spring when the incidence was lower than the other seasons. 3. The age-group of 3~8 years old occupied 69% of the total cases and sex incidence revealed mali predominence with the ratio about 2:1. 4. The frequently observed clinical manifestations included ; Anorexia(71%)Nausea/Vomiting(65%), Tiredness(53%), Dark urine(59%), Abdominal pain(54%), Fever(45%), Jaundice(75%), Hepatomegaly(71%), Tenderness on upper adbomen(40%), and Palpable spleen(12.3%). 5. In the most of the cases the hematologic findings were with-in normal limit. 6. Bilirubinuria was observed in about 65% of the tested cases during the first 2 weeks of the illness and urinary urobilinogen was decreased during the second week of the illness. 7. In the majority of the cases the serum bilirubin reached peak during the second week of the illness and ranged 2~15mg%. And by the end of the 4th week illness, they returned to less than 2mg% in the 85%of the tested cases. 8. SGOT and SGPT reached peak during the first week of the illness and by the end of 4th week, they returned to less than 100 unit in the most the tested cases. And the values of SGOTwere higher than SGOT throughout the course of the illness. 9. The electrophoresis of the serum protein revealed as follow ; 1-globulin decreased slightly and -globulin in creased. 10. We experienced 30 cases (14.4%) of anicteric hepatitis. 11. ABHg was positive in 2(3.8%) of the 52 tested cases. 12. 10 of the 208 cases complicated hepatic coma and 10 of them expired and 3 of them dischared without clinical improvement.
Alanine Transaminase ; Aspartate Aminotransferases ; Bilirubin ; Child* ; Electrophoresis ; Hepatic Encephalopathy ; Hepatitis ; Hepatitis A* ; Humans ; Incidence ; Mali ; Seasons ; Urobilinogen

Guillain-Barre syndrom(GBS) is not a single entity, but may arise from a variety of pathogenic mechanisms. In GBS, abnormally increased autoantibody levels to GM, constitute a group with motor neuropathy predominantly and substantial axonal damage, particularly those following Campylobacter enteritis. We report a patient, 43 years old male, who presented with 3 days history of rapidly progressive weakness of all extremities. Electreophysiologic studies were suggestive of axonal form of motor dominant polyneuropathy, Using ELISA, autoantibody of MAG(myelin associated glycoprtein) and SGPG(sulfoglucuronyl paraglobiside) showed normal ranges, but IgG GM. Autoantibodies abnormally elevated. Additionally antibody titer of Campylobacter jejuni increased. We reported the axonal form of Guillain, Barr syndrome associated with IgG GM,, Ab and antiCampylobacter jejuni antibody.
Adult ; Autoantibodies ; Axons* ; Campylobacter jejuni* ; Campylobacter* ; Enteritis ; Enzyme-Linked Immunosorbent Assay ; Extremities ; Humans ; Immunoglobulin G* ; Male ; Polyneuropathies ; Reference Values

To evaluate the effect of trabeculectomy on glaucoma following penetrating keratoplasty, we analyzed surgical results of patients who had taken trabeculectomy because of glaucoma associated with penetrating keratoplasty during the last two years. We evaluated success rate of trabeculectomy and possible causative factors which evoked filtering surgery failure. Mean follow-up period was about one year (11.98+/-3.2months) after trabeculectomy. Among the eyes with trabeculectomy, 61.9% maintained their intraocular pressure below 21 mmHg until last visit. Early elevation of increased intraocular pressure after keratoplasty was the only risk fator of filtering surgery which was stastically significant (P<0.05). However, aphakic or pseudophakic eyes, eyes with inflammatory disease and large donor trephine size were also estimated for possible risk factors. Corneal graft failure was single most common complicagion (5 eyes, 23.9%) after trabeculectomy. In conclusion, we think that early filtering surgery on the glaucomatous eyes associated with keratoplasty possible improved the surgical results. However, further studies to increase success rate of filtering sugery and to reduce graft failure rate, were warranted.
Corneal Transplantation* ; Filtering Surgery ; Follow-Up Studies ; Glaucoma* ; Humans ; Intraocular Pressure ; Keratoplasty, Penetrating ; Risk Factors ; Tissue Donors ; Trabeculectomy* ; Transplants

BACKGROUND: Correct transfusion of blood product to the right patient requires multiple processes. Errors occurring in the pre-transfusion checking step can result in a serious incident. The role of patients in the safe blood transfusion practice has been investigated. METHODS: We have adopted patient involvement in bedside checking using patient's signature since 2010. We conducted a retrospective review of transfusion medical records during January 2013. The signatures of doctors, nurses, and patients were audited and the reasons for omitting patient's signature were examined. RESULTS: The practice of patient's signature was performed after the problems of procedures were improved. A total of 4697 blood products for 576 patients were issued. The first transfused products were 426 units of RBC (74.0%), 56 units of platelet (9.7%), and 34 units of fresh frozen plasma (5.9%). Completion of patient's signature was observed in 336 patients (63.5%). The reason for omitting patient's signature was operation (104, 18.1%), unclear consciousness or sedation (75, 13.0%), and neonate or infancy (7, 1.2%). CONCLUSION: Patient involvement in the pre-transfusion checking process by writing down the patient's own signature could be achievable. In case of no patient's signature as with an operation, sedation, and neonate or infancy, specific attention is required to ensure a safe transfusion practice.
Blood Platelets ; Blood Transfusion ; Consciousness ; Humans ; Infant, Newborn ; Medical Records ; Plasma ; Retrospective Studies ; Writing

We report a case of intussusception of the cecum and appendix arising in pericecal endometriosis that are mistaken as a cecal tumor preoperatively. At the other OBGY clinic, the 1st lapalotomy was performed for management of leiomyoma but pelvic organs were adhesion severely and palpation mass in the cecum and appendix. The patient was transfer to our hospital for evaluation and treatment of mass. We investigated to intestine closely and diagnosis was cecal tumor colonoscopically. Total hystrectomy and iliocecectomy was performed successfully and discovered intussusception of the cecum and appendix due to endometriosis mistaken as a cecal tumor in operative field. Postoperatively, this case was diagnosed in pericecal endometriosis histologically.
Appendix* ; Cecum* ; Diagnosis ; Endometriosis* ; Female ; Humans ; Intestines ; Intussusception* ; Leiomyoma ; Palpation