BACKGROUND: The purpose of this study is to compare clinical and radiological outcomes between trans-acromial fixation with Kirschner's wire (K-wire) and AO locking hook plate fixation for acute acromioclavicular (AC) joint dislocation. METHODS: This study included 61 patients who underwent either closed reduction and trans-acromial fixation with K-wire (group A, 23 patients) or open reduction and internal fixation with AO locking hook plate (group B, 38 patients). Pain on a visual analogue scale (VAS) score, the University of California Los Angeles (UCLA) shoulder score, the American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (ROM) were used in the functional evaluation. For radiological evaluation, coracoclavicular distance (CCD) was measured on both clavicular anteroposterior view and compared between groups. RESULTS: At one-year follow-up, no significant differences in VAS pain score, UCLA shoulder score, ASES score, and active ROM were observed between groups, despite five cases (22.7%, 5/23) of complication in group A. The side-to-side difference between normal and affected CCD was 2.4 ± 2.2 mm in group A and 0.2 ± 0.7 mm in group B. This difference showed a statistical significance between groups (p<0.001). CONCLUSIONS: For the treatment of acute AC joint dislocation, the K-wire trans-acromial fixation group showed a significantly greater CCD than the AO locking hook plate group. In addition, during the follow-up period, much higher incidence of complication related to implant was observed in the trans-acromial fixation group. Although clinical outcomes between groups were not significantly different, these results should be interpreted carefully.
Acromioclavicular Joint* ; California ; Dislocations* ; Elbow ; Follow-Up Studies ; Humans ; Incidence ; Joints ; Range of Motion, Articular ; Shoulder ; Surgeons

The purpose of this report is to study further the presence and nature of the serum inhibitory factor against C. albicans and to investigate whether the pregnant mother sera and corresponding the sera of newborn cord blood would have any differend in inhibitory effect compared with normal adult sera. The sei um samples were obtained from 100 normal healthy adults, 50 pregnant mothers, and 5() samples of sera of newborn cord blood respectively. The degree of candidal growth was determined by the change of percent transmission on pectrophotometry of the organism inoculated in nutrient broth during 24-hour incubation. The results obtained were as follows: The sei a from normal healthy adults were found to retain the inhibitory effects on in vit o candidal growth compared with control, The inhibitory effect of pregnant mother or infant cord sera was also demonstrated, but v, as weaker than that of norrnal adult sera. The inhibitory effect of each group sera was reversed nearly to the control level after con..plete saturation with iron. The inhibitory action of normal adults sera in the standard strain of C. albicans was weaker than in the strain from the patient, The nature of the human serum inhibitory factor against in vitro growth of C. albicans seems to be closely related with the unbound iron-binding capacity of transferrin
Adult ; Candida albicans* ; Candida* ; Fetal Blood ; Humans* ; Infant ; Infant, Newborn ; Iron ; Mothers ; Transferrin

No abstract available.
Skin* ; Tuberculosis, Cutaneous*

9 Cases of femoral head fractures treated in Seoul National University Hospital were reviewed. They were classified according to Pipkin, and assessed according to Ebstein's criteria. The longest follow-up was 3 years and the shortest 6 months, the average being 1 year and 6 months. l. 8 cases were injured due to auto accident and there was no one who had worn seatbelt. 2. 1 case of intestine rupture and 2 cases of homothorax were accompanied. 3. There were 1 excellent, 1 good, and 1 poor results in 3 cases of Pipkin type 1, 1 fair result in 1 case of Pipkin type 2, 1 good and 1 fair results in 2 cases of Pipkin type 3, 1 good and 2 fair results in 3 cases of Pipkin type 4. 4. The following complications were encountered, 2 cases of sciatic nerve palsy, 1 case of avascular necrosis of femoral head, 1 case of traumatic arthritis.
Arthritis ; Follow-Up Studies ; Head ; Intestines ; Necrosis ; Rupture ; Sciatic Neuropathy ; Seoul

To estimate the impact the discontinuance of regular exercise on serum lipids, we selected 90 healthy young adults who were recruited and completed their training course as scheduled(5-week basic physical training and 4-week indoor education) during the period February 1995 to April 1995. Serum lipids, height, and weight were measured three times(Time I: before training, Time II: after 5-week training, Time III: after 4-week detraining). Ninety study subjects were classified as underweight, normal and overweight based on the criteria of Katsura equation. Of 17 underweight subjects, two were weight maintainers and 15 were weight gainers. There was no significant change in serum lipids after detraining among 15 weight gainers. Of 64 normal weight subjects, three were weight losers, 12 weight maintainers and 49 were weight gainers. There was significant increase in total cholesterol after detraining among 12 weight maintainers(P<0.01). In addition to this, there was also significant increase in total cholesterol(P<0. 01), LDL- cholesterol(P<0. 01) and HDL-cholesterol(P<0.05) after detraining among 49 weight gainers. This might be due to the harmful effect of detraining except HDL-cholesterol change. Of nine overweight subjects, only one was weight loser and eight were weight maintainers. There was significant increase in HDL-cholesterol after detraining among 7 weight maintainers (P<0.05). However, there were no significant changes in total cholesterol, triglyceride, LDL-cholesterol and MI index. The harmful effect of detraining was not observed in overweight subjects. In conclusion, the harmful effect of detraining was observed in weight maintainers and weight gainers among normal weight subjects after regular exercise.
Cholesterol ; Humans ; Overweight ; Thinness ; Triglycerides ; Weight Gain ; Young Adult

No abstract available.
Stevens-Johnson Syndrome*

This study was conducted to evaluate the relationship between change in obesity indices and change in serum lipids in adult male workers. Two-hundred-eight adult male workers of an industry in Taegu city were followed-up from 1991 to 1995. Height, weight, circumferences of hip and waist, blood pressure were measured and serum lipids were analysed. Data on life style were obtained using self-administered questionnaires. Mean differences of anthropometric measurements between 1991 and 1995 were as follows; 1.63kg in weight, 3.61cm in waist circumferences, 4.23cm in hip circumferences, 0.52kg/m2 in BMI and -0.021 in WHR. Those of lipids were as follows; 15.09mg/dl in total cholesterol, 20.43mg/dl in triglyceride, 9.40mg/dl in HDL-cholesterol, 2.87 in MI-index(p<0.01) and 350mg/dl in LDL-cholesterol. The changed value of BMI and Katsura index were strongly correlated with that of total cholesterol(r=0.174, p<0.05), the changed value of BMI correlated with that of triglyceride(r=0.374, p<0.01) and the changed value of weight correlated with that of MI index(r=-0.173, p<0.05). The changed value of WHR was significantly correlated with that of total cholesterol(r=0.162, p<0.05), however, was not significantly correlated with HDL-cholesterol, LDL-cholesterol, triglyceride and MI index. The changed value of weight, BMI and Katsura index were correlated with that of triglyceride(r=0.262, p<0.01; r=0.267, p<0.01; r=0.258, p<0.01) and the changed value of MI index(r=-0.143, p<0.05; r=-0.158; r=-0.144, p<0.01), adjusting the pattern of change in life style. The changed values of HDL-cholesterol and MI index between 1991 and 1995 in low WHR group were significantly higher than those in high WHR group(p<0.05, p<0.01), adjusting the baseline value of them. Similar pattern was observed when considering Katsura index. When stratifying by BMI value of 1991, in low BMI group, the changed value of HDL-cholesterol and MI index showed the same pattern as above, however the of triglyceride was statistically higher in obese group than in non obese group(p<0.05). In conclusion BMI might be a better indicator to predict serum lipids change than other obesity indices.
Adult* ; Blood Pressure ; Cholesterol ; Daegu ; Hip ; Humans ; Life Style ; Male* ; Obesity* ; Surveys and Questionnaires ; Triglycerides ; Waist Circumference

Recent improvements in gray scale ultrasonic imaging and the development of real time ultrasound made it useful in directing the diagnostic examination and in determining which patients should undergo further, more invasive diagnostic procedures. Ultrasound scanning is cheaper and quicker than computed tomography and angiography, is not invasive and causes little discomfort to the patient. No intravenous contrast medium is used so that reactions to iodine and the difficulty in obtaining venous puncture, frequently a problem in children, are circumvented. There is no ionizing radiation or problem with breath holding. So we made a brief review of the clinical experience and value of ultrasound of renal diseases.
Angiography ; Breath Holding ; Child ; Humans ; Iodine ; Punctures ; Radiation, Ionizing ; Ultrasonography*

Acantholytic acanthoma is typically an asymptomatic, keratotic papule or nodule. In 1988, Brownstein described a previously unrecognized benign acanthoma, the acantholytic acanthoma. The term acantholytic is used because acantholysis is the outstanding histologic feature in this neoplasm; acanthoma is chosen because the growths are benign tumors of epidermal keratinocytes. On histopathology, these tumors may mimic pemphigus vulgaris, pemphigus vegetans, superficial pemphigus, or Hailey-Hailey disease, but had no evidence of any of these disorders. We report a case of acantholytic acanthoma seen on the inguinal area of a 79-year-old man who had a keratotic nodule on the left inguinal area.
Acantholysis ; Acanthoma* ; Aged ; Humans ; Keratinocytes ; Pemphigus ; Pemphigus, Benign Familial

OBJECTIVES: Obesity is known to influence physical and mental health as well as the general quality of life. The aim of this study was to evaluate the effect of obesity related quality of life on selecting a goal for weight management in overweight and obese female patients. METHODS: A total of 140 overweight or obese (Body mass index 23 kg/m2) female outpatients aged > or = 20 and < or = 60 years from one clinic participated in this study. Patients' desired weight (goal weight, ideal weight, satisfactory weight, acceptable weight and disappointed weight) and obesity related quality of life measures were evaluated. Univariate and multivariate analysis were performed to evaluate the effect of obesity related quality of life on goal weight reduction (%) and goal body mass index (BMI). RESULTS: Mean BMI of overweight group, mild obesity group and severe obesity group were 62.0 +/- 4.8 kg, 68.5 +/- 5.5 kg and 83.5 +/- 9.6 kg, respectively. Mean weight loss expectations of the three groups were 16.4 +/- 4.7%, 19.5 +/- 5.3% and 30.2 +/- 6.8%, respectively and goal weight was significantly different among the three groups. Severe obesity group had a lower total quality of life score including physical, work-related, daily living domains than overweight or mild obesity groups. In univariate and multivariate regression analysis, psychosocial domain of quality of life had an effect on goal weight reduction (%) and goal BMI. CONCLUSIONS: The results of this study demonstrated that the obese patients with poorer quality of life and psychosocial health tended to choose higher goal weight reduction and lower goal BMI.
Body Mass Index ; Female ; Humans ; Mental Health ; Multivariate Analysis ; Obesity ; Obesity, Morbid ; Outpatients ; Overweight* ; Quality of Life* ; Weight Loss