The authors made a study on the species and distribution of helminths in Korean native cattle. The feces and internal organs from 1,755 heads were examined in slaughter plants of Taejon district. The results are summarized as follows. Distribution and infestation rate of helminths among the collected samples are, Paramphistomum spp. 68.4 per cent, Fasciola spp. 48 per cent, Eurytrema spp. 23.5 per cent, Moniezia spp. 8 per cent, Dictyocaulus spp. 3.5 per cent, Trichostrongylus spp. 12.4 per cent, and other species 26.8 per cent, respectively. In 33.4 per cent of ths cases, single infestation was seen and in 31.5 per cent, 18.0 per cent, and 14.0 per cnet mixed infestation of double, triple, and quadruple or more species were seen, respectively. Geographical analysis of infested helminths in the native cattle indicates: Among the trematoda order, Paramphistomum spp. and Fasciola spp. showed high rate of infestation throughout all districts of the country, especially Cheju island with a significant higher rate. Central district (Taejon) was higher in number of native cattle infested with Fasciola spp. than any other district of the country investigated. The rate of infestation with cestoda also showed to be higher in Cheju island than any other district of main land, but the rate of infestation with other nematoda showed no geographical difference.
parasitology-helminth-nematoda-trematoda-cestoda ; Paramphistomum spp. ; Fasciola spp. ; Eurytrema spp. ; Moniezia spp. ; Dictyocaulus spp. ; Trichostrongylus spp. ; epidemiology-cattle

The discovery and synthesis of vitamin D and the elucidation of the role of sunlight in the activation of the vitamin D precursors changed the syndromes of rickets from a therapeutic enigma to a socioeconomic and public health problem. Since Albright in 1937 first described vitamin D resistsnt rickets, which did not respond to treatment with the usual dose of vitamin D, it has progressively become a common form of rickets in practice. In addition, as the result of increasing understanding of renal physiology and careful investigation, a spectrum of renal tubular abnormalities have been identified which cause clinical rickets and which in many cases are insensitive to even large doses of vitamin D. We have reported a case of an unusual form of vitamin D resistant rickets which did not easily respond to treatment with high doses of vitamin D and was associated with hypocalcemia in multiple pathologic fractures in the lower extremities of the patient.
Familial Hypophosphatemic Rickets ; Fractures, Spontaneous ; Humans ; Hypocalcemia ; Lower Extremity ; Physiology ; Public Health ; Rickets ; Sunlight ; Vitamin D ; Vitamins

Effects of various factors related to the process of social action of hospital services on the selecting a hospital were investigated by using of questionnaires answered by 1,319 patients in a certain University Hospital, in Chungchongnam-Do, from November, 1986 to November, 1987. The results summarized were as follows ; 1. Each of the examined factors, that is, sincerity of an attendant physician in medical treatment and explaining the condition of a disease, confidence to doctor and nurse, doctor's and nurse's response to calling by patient, kindness of the hospital staffs and food handlers, sanitariness of hospital, cleanness of clothes and bed sheets, hospital foods, and rest surroundings, are not solely decisive to attitude of hospital utilization, but the factors effects compositely on hospital utilization. 2. Hospital services of the social action process are more effective to hospital utilization in cases of the hospitalization caused by the traffic facility than for the medical skill and facilities.
Hospitalization ; Humans ; Surveys and Questionnaires

Primary tumor of the renal pelvis and ureter is relatively rare disease, but usually malignant. It's prognosis is dependent upon the early detection, accurate diagnosis, procedure for treatment, and tumor grade and stage. Therefore, urologist should endeavor after accurate diagnosis and definitive treatment. A clinical observation was done on the 11 patients with renal pelvic tumor and the 3 patients with ureteral tumor at the Department of Urology, Kyungpook National University Hospital during the period of 4 years from January, 1978 to December, 1981. The results were as follows: 1. There were 9 men and 5 women, giving a ratio of 1.8 to 1. The average age at presentation of the 14 patients was 51.4 years. 2. On excretory urogram, nonvisualization of the kidney was the most prevalent sign in 10 patients. Retrograde pyelogram was done in 11 patients in whom findings of IVP were not sufficient for diagnosis. Renal angi0graphy was done in 9 patients. 3. Urine cytology was positive in 2 of 14 patients. 4. Of the 13 patients treated, 12 were proved to have transitional cell carcinoma, and 1 was leiomyoma. In 3 of the 11 patients with renal pelvic tumor, Concomitant ureteral tumor was present at diagnosis. And in 2 of the 11 patients with renal pelvic tumor developed subsequent urothelial tumors in the ureter and/or bladder after simple nephrectomy. 5. Nephroureterectomy including resection of a bladder cuff was done in 11 patients, and in 2 of these was also performed lymphadenectomy. Simple nephrectomy was done in 2 patients with renal pelvic tumor under the misdiagnosis of renaltuberculosis. 6. Postoperative complications developed in 3 cases, wound infection, pneumothorax, and death, in each case.
Carcinoma, Transitional Cell ; Diagnosis ; Diagnostic Errors ; Female ; Gyeongsangbuk-do ; Humans ; Kidney ; Kidney Pelvis* ; Leiomyoma ; Lymph Node Excision ; Male ; Nephrectomy ; Pneumothorax ; Postoperative Complications ; Prognosis ; Rare Diseases ; Ureter* ; Urinary Bladder ; Urology ; Wound Infection

No abstract available.
Acoustics* ; Ear, Inner ; Hearing* ; Neuroma, Acoustic* ; Semicircular Canals*

In infections of the urinary tract resulting from bacterial invasions, pus cells are most commonly present in those urine, and bacteria and pus casts may also exist. Campbell considers that there are five pus cells per high power field are within normal limits in the uncentrifuged catheterized urine. On the other hand Helmholz says two to eight pus cells may exist in a normal specimen. It is of no moment if the leukocytes are single or clumped: The important thing is to demonstrate the polymorphic or pawnbroker's nucleus in the pus cells, and desquamated epithelial cells or other urinary debris should not be considered as pus cells. Alto most accurate counting of those should be made with a counting chamber in high power field. It is called bacteria urine if any kind of bacteria exists in the urine with or without leukocytes, and both bacteria urine and pyuria are most significant clinical signs for the diagnosis of urinary infection. According to Lancet (1964) when 100, 000 or more organisms are presentper milliliter of urine, true infection. are actually present and therefore one might assume if there were less than 100,000 organisms per milliliter that thereare no infections, but no one has yet defined what is the normal upper level of white cells in the urine of Korean people. The purpose of this paper is to study what is the normal upper level of white cells and bacteria in the urine of Koreanpeople. MATERIALS AND METHODS: Sixty patients with urinary tract symptoms were assessed. Forty of the subjects were women. A selected control group of twenty adults was composed of twelve female and eight male, none of whom bad ever had urinary infection. Urine specimens were obtained by midstream collection comparing with catheterization. White cell count of the urine was estimated by Thomas white cell counting chamber, while those specimens were not centrifuged, and bacteria count was performed by a standard drop plate method. Steroid provocation test wee based on the procedure described by Pears and Houghton, and 50 mg of prednisolone was given by mouth. RESULTS: 1. In the collection of urine specimens, the midstream collection was more convenient and harmless compared with the results of catheterization. 2. When there were less than five cells per c.mm. there was no evidence of urinary tract infection on those specimens. When there were more than 10 cells per c. mm. there were true infections in those subjects. 3. When there were more than 100, 000 organisms per milliliter there were true infections in those subjects. There were less than 100, 000 organisms per milliliter even in the control group. 4. In steroid provocation test, there were carried out in 20 controls and in 60 patients, the positive test was a rise in white cell count or bacteria count together of at least 100 percent in those 60 patients, but no response in those 20 control group.
Adult ; Bacteria* ; Catheterization ; Catheters ; Cell Count ; Diagnosis ; Epithelial Cells ; Female ; Hand ; Humans ; Leukocytes ; Male ; Mouth ; Prednisolone ; Pyrus ; Pyuria ; Suppuration ; Urinary Tract Infections* ; Urinary Tract*

No abstract available.
Arthroplasty, Replacement, Hip*

Osteosarcoma probably arises from a primitive, undifferentiated mesenchyme, It is highly malignant bone tumor characterized by the invariable formation of neoplastic osteoid and tumor tissue with poor prognosis. Osteosarcoma may involve any bone, but usually arises in the metaphyseal portion of long bones, most frequently at the distal ent of the femur, the proximal end of the tibia, and the proximal end of the humerus. The authors have experienced one case (52 year old male) of osteosarcoma originating from the right patella.
Femur ; Humerus ; Mesoderm ; Osteosarcoma ; Patella ; Prognosis ; Tibia

BACKGROUND: The elderly is known to have many different clinical laboratory data compared with the young adults. But, in Korea, such study is lacking. METHODS: We gathered 98 healthy elderly cases and 98 healthy young adult controls who have taken periodic health examination from January 1993 to May 1996 at one hospital and we compared the mean of various clinical laboratory data between the two groups. RESULTS: In both sexes, cholesterol, ESR, glucose were significantly higher in the elderly t,han in the controls and direct bilirubin was significantly lower in the elderly than in the controls(P<0.05). In men, albumin, calcium, hemoglobin were significantly lower in the elderly than in the controls and MCV was significantly higher in the elderly than in the controls(P<0.05). In women, alkaline phosphatase, LDH, triglyceride, GOT, GPT, T3,TSH, phosphate were significantly higher in the elderly than in the controls and total bilirubin, protein, uric acid were significantly lower in the elderly than in the controls(P<0.05). WBC count, platelet count, neutrophil count(%), lymphocyte count(%), eosinophil count (%), monocyte count(%), MCH, MCHC, BUN, creatinine, HDL were not significantly different between two groups. CONCLUSIONS: Many clinical laboratory data are different between the elderly and the young adults, and some clinical laboratory data have sexual differences.
Aged* ; Alkaline Phosphatase ; Bilirubin ; Calcium ; Cholesterol ; Creatinine ; Eosinophils ; Female ; Glucose ; Humans ; Korea ; Lymphocytes ; Male ; Monocytes ; Neutrophils ; Platelet Count ; Triglycerides ; Uric Acid ; Young Adult*

Pyuria, pain and hematuria are the predominant symptoms in urologic diseases. Among them hematuria is the most important complaint referable to the urinary tract in both children and adults Accordingly, hematuria should never be ignored, and no matter how trivial the bleeding a complete urologic investigation into itscause is mandatory. A statistical survey was made on hematuria of the in-patientsin the Department of Urology at ST. Mary's Hospital, during the two years from August 1966 to July 1968 and the following results were obtained. 1. During that period. out of 437 cases who were hospitalized, 246 cases(179 males and 67 females) had hematuria, giving a rate of 5t percent (gross: 24 percent, micro-hematuria: 30 percent) 2. More than 70 percent of all the cases of hematuria processed were found to be calculus, tumor and tuberculosis of the genitourinary tract. 3. Most frequent incidences of hematuria 'were shown to be trauma in children, while calculus, tuberculosis and tumor in young and middle aged group, and tumor in old aged group as well. 4. Among 141 cases of micro-hematuria, grade I showed 78 cases(55 percent) 5. The location of bleeding in 1O5 cases of gross hematuria was in the kidney by 40 percent, bladder, ureter and urethra in that order of frequency.
Adult ; Calculi ; Child ; Hematuria* ; Hemorrhage ; Humans ; Incidence ; Kidney ; Male ; Middle Aged ; Pyuria ; Tuberculosis ; Ureter ; Urethra ; Urinary Bladder ; Urinary Tract ; Urolithiasis ; Urologic Diseases* ; Urology