No abstract available.
Oropharynx* ; Tongue*

The treatment of calcaneal fracture has been controvertial because of its difficulty for many years, and now it tended to be concluded with ultimate result of earIy weight bearing. Authors tried a serial treatment of calcaneal fracture with enforcing early weight bearing after a week of elevation, eold compression, and other 3 weeks of cast immobilization. Materials are compised of 21 feet of 18 patients. Of which 12 cases treated by this method have restored normal range of walking ability. Another group of materials treated by open reduction showed delayed recovery.
Clinical Study ; Foot ; Humans ; Immobilization ; Methods ; Reference Values ; Walking ; Weight-Bearing

In 1961, Salter had devised the innominate osteotomy in treating C.D.H, which has been one of the most popular methods in these days. 14 hips with 12 patients who have been admitted and received Salters innominate osteotomy in the department of orthopaedic surgery, National Medical Center, from Feb. 1974 to Dec. 1976, were evaluated as for the results. Clinical analysis and follow-up study were carried out in 14 hips with C.D.H. and the following results were obtained. The mean age of the cases was 34 months, and sex preponderance of female to male was 11: 1. The ratio of left to right was not significantly different. 2 cases of complication out of 12 cases was found; redislocation and subluxaiton respectively. The age of first detection of C.D.H., was surprisingly late around 18 months old. In addition, approximately 12 months has elapsed between the first detection of C.D.H. and the first consultation to doctor. Assesment of the result was carried out by Severine and Macays method respectively; Radiological evaluation was as followings: (Severine) Excellent: 4, Good: 8, Fair: 1, Poor: 1. Clineal evaluation was as followings: (Macay) Excellent: 4, Good: 7, Fair: 1, Poor; 1, Failure: 1.
Equidae ; Female ; Follow-Up Studies ; Hip ; Humans ; Male ; Methods ; Osteotomy

Angiographic procedures and their applications maybe divided into following roups: I) procedures used to increased blood folw, as the angioplasty, II) procedures used to decreased blood flow, as the embolization and local infusion of vasoconstrictors and III) miscellaneous procedures. Transcatheter vessel occlusion was first performed in 1930 by Brook to occlude the carotid cavernous fistula by embolization of the surgically exposed carotid artery with muscle marked with a sliver clip injected directly into the internal carotid artery. Autologous clot, first used by Doppman(1968) to occlude a spinal arteriovenous malformation was quickly adopted use in traumatic hemorrhage with pelvic fracture, nonoperable aneurysm, gastrointerstinal hemorrhage and diagnosis and treatment of the tumors. In Kores, there have been several reports of transcatheter vessel occlusion after Han(1978) made a first report in the radiology part. In orthopedics part of Korea, Kim(1981) and Yoo(1982) reported the cases of surgical treatments of arteriovenous malformation without embolization. Also, in Korea, there has been no report of transcather embolizations of vascular diseases of the extremities, such as huge arterial aneurysm and dilated varicose vein. We reported the 4 cases who were treated at the Chonbuk National University Hospital between January 1987 and April 1988. Transcatheter vessel occlusion have such advantages : 1. The vascular status of the mass can be recognized prior to operation, such as biopsy. 2. Since the bleeding can be reduce, the operation can be performed easily. 3. Nonoperable huge arterial aneurysm could sometimes be treated only with transcatheter vessel occlusion adequately. 4. It can make a differential diagnosis with other vascular anomaly easy.
Aneurysm ; Angioplasty ; Arteriovenous Malformations ; Biopsy ; Carotid Arteries ; Carotid Artery, Internal ; Diagnosis ; Diagnosis, Differential ; Extremities ; Fistula ; Hemorrhage ; Jeollabuk-do ; Korea ; Orthopedics ; Varicose Veins ; Vascular Diseases ; Vasoconstrictor Agents

PURPOSE: The purpose is to aid in the diagnosis and obstetric management by analysing the ultrasonographic findings of prenatally diagnosed Edward syndrome. METHOD: The study population consisted of 15 cases prenatally diagnosed Edward syndrome from January 1993 to January 1999. The medical charts and ultrasonographic findings were reviewed retrospectively, and especially the ultrasonographic findings before prenatal genetic diagnosis were anlyzed. RESULTS: All of the 15 cases reviewed showed at least one ultrasonographic finding suggesting Edward syndrome. In the first trimester, 2 cases revealed cystic hygroma and increased nuchal translucency, and after the second trimester, major structural anomalies including congenital heart anomalies and minor ultrasonographic findings such as choroid plexus cyst were noted. All of cases after 21 weeks of gestation showed congenital heart anomaly, and as the pregnancy progressed there was an increased tendency of intrauterine growth restriction and polyhydramnios. CONCLUSION: Prenatal ultrasonography in the screening process of Edward syndrome can be placed as a very informative method, as all of the Edward syndrome cases revealed at least one abnormal ultrasonographic findings. As congenital heart anomalies were found in all of the cases after 21 weeks of gestation, fetal echocardiography should be considered in evaluating suspected cases of Edward syndrome.
Choroid Plexus ; Diagnosis ; Echocardiography ; Female ; Heart ; Humans ; Lymphangioma, Cystic ; Mass Screening ; Nuchal Translucency Measurement ; Polyhydramnios ; Pregnancy ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Retrospective Studies ; Ultrasonography* ; Ultrasonography, Prenatal

No abstract available.
Autoantibodies* ; Incidence* ; Interferon-gamma*

PURPOSE: The purpose of a clinical pathway(CP) is to standardize the clinical practice of specialists to optimize the medical care. The objective of this study is to develop CP for transurethral resection of the prostate (TURP) for patients with benign prostatic hyperplasia(BPH) and to evaluate the results of the CP. MATERIALS AND METHODS: 18 patients with BPH and who were managed according to the CP between November 2006 and April 2007 were compared with 38 patients, for whom this pathway had not been used between the period of November 2005 to October 2006. The patients had no other disease except benign prostatic hyperplasia. The results such as the operative time, the resection volume, the length of the hospital stay, the complication rates, the catheter indwelling time and the maximal flow rate were compared between the CP group and the non-CP group. RESULTS: There were no statistically significant differences between both groups for the postoperative complication rates(p=0.683). With the application of the clinical pathway, the mean duration of the hospital stay and the catheter indwelling time were significantly lower for the CP group than that for the non-CP group(p<0.001). Statistically, there were no significant differences of the maximal flow rate and International Prostate Symptom Score(IPSS) between the two groups. All members of the CP group were satisfied with the application of the CP. CONCLUSIONS: The application of the clinical pathway for patients undergoing transurethral resection of prostate has reduced the catheter indwelling time and the length of the hospital stay. This improves the bed use and hospital efficiency while it also results in a higher level of patient satisfaction. Furthermore, reducing the variability of medical care has improved its quality.
Catheters ; Critical Pathways ; Humans ; Length of Stay ; Operative Time ; Patient Satisfaction ; Postoperative Complications ; Prostate ; Prostatic Hyperplasia ; Specialization ; Transurethral Resection of Prostate

No abstract available.
Electric Stimulation* ; Vocal Cords*

Low back pain and sciatica is a common cause of physical disability and reduces the activity of the patient, which have a negative effect to a society and enigmatic to the concerned physician. Concerning to thecauses of low back pain and sciatica, direct mechanical compression exerted by protruded disc material on nerve roots has been widely accepted as a main factor. There is, however, a good deal of indirect evidence, which suggests that inflammatory changes, present in and around affected nerve roots, may also be of importance in the production of the pain. One hundred and twelve patients suffering from low back pain and/or sciatica.have been treated by epidural injection of methyl-prednisolone acetate 80mg and l% lidocaine 4cc, at Wonju Christian Hospital, Yonsei University Wonju Medical College from June, 1979 to April, 1983. Present study was done to analyse the effect of epidural steroid injection on low back pain and sciatica. The success of the injection was assessed strictly according to the subjective response of the patient. The results of this study are as follow: The overall effect of the epidural steroid injection; 26 patients(23%) were completely relieved of symptoms, 33 patients(29%) were markedly improved, 23 patients(21%,) were moderately improved, 30 patients(27%) stated that they had no relief from the injection. 2. As for a major causative disease of low back pain and sciatica, herniated lumbar disc, 65 patients(58%), was found. Secondly, 12 patients(11%) was degenerative spondylitis and 11 patients (10%) was lumbar sprain. 3. The patients who had only low back pain or sciatica without neurologic deficit showed much better improvement as 91 and 88. 4. A better result noted in the patients had symptoms for three months or less comparing with the patients having symptoms longer than three months. 5. The patients wiho had not been treated or concervatively treated prior to the injection represented better improvement comparing with the patients previously by surgical method. 6. Thirty eight(68%) of 56 patients who had history of trauma, and 44 patients(79%) of 56 patients who had no previous trauma history showed a moderate or better improvement. 7. No significant difference was found in the effect of injection according to ficdings of the routine roentgenography and myelography. 8. The patients who were responsible for the expenses of the treatment showed better improvement. 9. The symptoms were recurred in 19 patients(17%) within two months, and five of whom experienced marked and moderate pain improvement with second injection. The results suggest that the epidural steroid injection is relatively simple method with rere complication and more effective for treatment of low back pain and sciatica which may prevent the chronic pain when it is performed in the early stage with other conservative treatment.
Chronic Pain ; Gangwon-do ; Humans ; Injections, Epidural ; Lidocaine ; Low Back Pain ; Methods ; Myelography ; Neurologic Manifestations ; Radiography ; Sciatica ; Spondylitis ; Sprains and Strains

Purpose: The diagnostic usefulness of fetal echocardiography in congenital heart disease is well known. One of the indications for fetal echocardiography is presence of extracardiac anomalies and such coexistent congenital heart disease may have important implications for obstetric and neonatal management. MATERIALS AND METHODS: 496 women with singleton pegnancies with amgenital anomalies that underwent penatal care and follow-up in Severance Hospital for 5 years from 1991 to 1995 were evaluated for the incidence of congenital heart disease. RESULTS: The incidence of congenital heart disease in fetuses with the associated extracardiac anomalies were as follows; central nervous system 6.9%(11/160), gastro-intestinal system 10.7%(8/75), genito-urinary sysem 4.7%(4/85), others 5.6%(4/72). Thirty-one of eighty-ane fetuses with congenital heart disease were found to have the associated extracardidac anomalies and ten of them chenoscenal abnormalities. CONCLUSION: We recommend that fetuses with congenital extracardiac anomalies sbould be checked for the presence of congenital heart disease and chmmosomal abnormalities, if needed.
Central Nervous System ; Echocardiography ; Female ; Fetus ; Follow-Up Studies ; Heart Defects, Congenital* ; Humans ; Incidence