No abstract available.
Hirschsprung Disease*

We shall devide the specific types of conjunctivitis into four main categories: (1) infectious conditions, (2) allergic conditions, (3) irritative conditions, and (4) inflammations occuring in association with diseases of the skin and mucous membranes. Bacterial conjunctivitis is the most common types of infections conjunctivitis. The common causes of bacterial conjunctivitis are Moraxella, Hemophillus, Staphylococcus, Streptococcus, Pneumococcus, Gonococcus, Corynebacterium diphtheriae. The genus citrobacter is closely related to the Salmonella-Arizona group of Entrobacteriaceae. They are usually recovered as commensals or as secondary pathogens from patients with altered host defences. The most commonly involved sites are the urinary and respiratory tracts. A 6 month old Korean male was found to hyperacute conjunctivitis OU which had developed for about 15days. Citrobacter freundii was recovered from the conjunctival exudate through smear, culture and biochemical study. Beside his conjunctivitis OU, this child was physically healthy and not found to have immunodeficiency. The conjunctivitis was treated and recovered with topical 0.5% Gentamycin and amoxycyillin 400mg.
Child ; Citrobacter freundii* ; Citrobacter* ; Conjunctivitis* ; Conjunctivitis, Bacterial ; Corynebacterium diphtheriae ; Exudates and Transudates ; Gentamicins ; Humans ; Infant ; Inflammation ; Male ; Moraxella ; Mucous Membrane ; Neisseria gonorrhoeae ; Respiratory System ; Skin ; Staphylococcus ; Streptococcus ; Streptococcus pneumoniae

We present a case of recurrent left atrial myxoma which occurred 7 years and 10 months after initial operation despite resection of originaltumor and adjacent atrial septum. This is the first case report of recurrence in Korea. Among the possible causes of recurrence, regrowth from pretumorous focus seems to be the most suggesting one in this case. Histopathologic findings of recurrent myxoma showed increased cellularity with active proliferation and nuclear hyperchromasia. These findings, together with the rapidity of regrowth, suggest that recurrent myxoma may have 'wilder' behavior. Prolonged postoperative observation is important, even if ample resection was done at the initial operation including atrial septum.
Atrial Septum ; Korea ; Myxoma* ; Recurrence*

Regional left ventricular dysfunction is common in patients with coronary artery disease and accurate analysis of regional dysfunction is of particular interest. For the quantitative assessment of regional dysfunction, we measured regional ejection fraction by radial sector division method in 19 patients with acute myocardial infarction and 13 normal controls who had multigated blood pool scan. And two independent observer analyzed regional wall motion using 5 point grading system in 18 patients undergoing radionuclide ventricular cineangiography. The results obtained were as follows : 1) Regional wall motion scores for the gated blood pool study agreed completely in 72 of 108 segments (66.7%) and agreed within 1 grade in 88 of 108 segments(81.5%) and agreement rate is lowest in the septal area. 2) Global left ventricular ejection fraction was 63.2+/-4.2% in normal controls, 36.6+/-6.8% in extensive anterior wall infarction group and 52.6+/-9.7% in inferior wall infarction group. The value of extensive anterior wall infarction group was significantly lower than that of inferior wall infarction group(p<0.005). 3) Regional left ventricular ejection fraction by radial sector division method in normal control group were as follows : area 1 ; 56.5+/-6.7%, area 2 : 77.9+/-4.8%, area 3 ;84.3+/-5.5%, area 4 : 76.8+/-6.6%, area 5 ; 84.7+/-7.6%, area 6 ; 85.9+/-11.2%, area 7 ; 75.5+/-12.3%, area 8 ; 74.9+/-14.0%, area 9 ; 75.5+/-8.8%, area 10 ; 54.2+/-11.0%, 11 ; 34.5+/-16.3, area 12 ; 37.1+/-18.0%. 4) Mean regional ejection fraction in 7 patients with anterior wall infarction showed significantly lower values in area 4 to area 8, and in area 2 to area 5 in case of inferior wall infarction group. 5) We thought that regional ejection fraction obtained by radial sector division method is valuable index for the management and evaluation of patients with coronary artery disease.
Cineangiography ; Coronary Artery Disease ; Humans ; Infarction ; Myocardial Infarction* ; Septum of Brain ; Stroke Volume ; Ventricular Dysfunction, Left

This study examined the subjective health recognition, motivation, selection property, consumption realties, and generalities of elderly people eating out. The ratio of women eating out in those over 60 years of ages was high and people in that age group ate out most actively. The score of convenience-oriented, gourmet-oriented, and dignity-oriented of the selection property for eating out increased with increasing frequency and expenditure for eating out. With increasing age, a negative (−) relationship with a decrease in the safety-oriented score of the selection property for eating out was predicted. As the number of days eating out increased, a positive (+) relationship with an increase in the safety-oriented score of the selection property for eating out was observed. As the scores of physical and social health perception increased, a positive (+) relationship with an increase in the gourmet oriented score was observed. Based on the results, various research on the relationship between the health recognition and eating out behavior of those over 60 years of age are required.
Aged ; Diagnostic Self Evaluation ; Eating ; Female ; Health Expenditures ; Humans ; Motivation ; Regression Analysis

Myoepitheliomas are well-established to occur in the salivary glands, but they have also been described in the breast, upper aerodigestive tract, skin, and soft tissues. We report here on a unique case of primary myoepithelioma that occurred in the right testis of a 28-year-old man. The tumor was entirely confined to the testis and it was clearly separated from the epididymis. Histopathology revealed mixed architectural patterns in which the reticular areas merged into the chondromyxoid stroma. The tumor cells, which were focally immunoreactive to pancytokeratin and S-100 protein, were round to ovoid and spindly arranged in cords, strands, and fascicles. They showed mild nuclear pleomorphism, sparse mitotic figures and a low Ki-67 proliferative index. There was no ductal differentiation in the tumor. To the best of our knowledge, there has been only one case report of a primary testicular myoepithelioma in the English medical literature.
Adult ; Breast ; Epididymis ; Humans ; Male ; Myoepithelioma ; S100 Proteins ; Salivary Glands ; Skin ; Testis

A small beam or slit of light focused at the pupillary margin will induce regular, persistent oscillations of the pupil. The period of these cycles is the pupil cycle time that can be easily measured and expressed in milliseconds. When the efferent part of the light reflex of the pupil is normal, determination of the period of these cycles in milliseconds provides a number which may be correlated with conduction time in the anterior visual pathway. Cox and Drews reoorded pupillary response to alternating half-field visual stimuli and found that stimulation of the temporal visual field (nasal retina) caused more pupillary constriction than did equivalent stimulation of the nasal field(temporal retina). These findings imply an asymmertric decussation of pupillomotor pathways in the midbrain in humans as well as greater sensitivity of the nasal retina. We measured nasal and temporal pupil cycle time on 200 normal eyes of Koreans by half-field stimulation of the nasal and temporal retina. And we found that: 1. The mean temporal pupil cycle time was 1071 +/- 92m sec, in right eye and 1068 +/- 81m sec, in left eye. The mean nasal pupil cycle time was 894 +/- 63m sec, in right eye and 899 +/- 57m sec, in left eye. Difference between nasal and temporal pupil cycle time was 177 +/- 73m sec, in right eye and 169 +/- 64m sec, in left eye. 2. The difference of pupil cycle time between the right and left eyes was 3 +/- 84m sec, in temporal retina and 5 +/- 61m sec, in nasal retina. The difference of pupil cycle time between the two eyes was not significant statistically. 3. The mean temporal pupil cycle time of the two eyes was 1069 +/- 85m sec, and the mean nasal pupil cycle time was 897 +/- 62m sec. Difference between nasal and temporal pupil cycle time was 172 +/- 74m sec. In 95% of normal population, the discrepancy between temporal and nasal pupil cycle time was shorter than 253m sec. 4. The mean temporal pupil cycle time was 1066 +/- 86m sec, in male and 1072 +/- 83m sec, in female. The mean nasal pupil cycle time 901 +/- 63m sec, in male and 894 +/- 59m sec, in female. The difference of pupil cycle time between the male and female was not significant statistically.
Constriction ; Female ; Humans ; Male ; Mesencephalon ; Pupil* ; Reflex ; Retina ; Visual Fields ; Visual Pathways

Based on the rDNA ITS sequences data, specific primer set for PCR detection of wood-decaying fungus Phellinus linteus was designed. The length of PCR products using designed primer set(SHF and SHR) was about 540 bp. Among 11 species, 17 isolates of Phellinus spp. including Phellinus linteus, P. pomaceus, P. spiculosus, P. baumi, P. pini, P. igniarius, P. gilvus, P. biscuspidatus, P. weirii, P. johnsonianus, P. robutus, and P. igniarius, seven isolates of Phellinus linteus showed about 540 bp-sized single band. This molecular technique could offer a useful tool for detecting and identifying Phellinus linteus.
DNA, Ribosomal* ; Fungi* ; Polymerase Chain Reaction

STUDY DESIGN: Prospective study. OBJECTIVES: This study compared the early postoperative analgesic effects and the postoperative nausea and vomiting (PONV) associated with 3 methods of pain control after posterior spinal decompression. SUMMARY OF LITERATURE REVIEW: Spinal surgery causes severe postoperative pain. Efficient and safe methods for postoperative analgesia after spinal surgery are necessary. MATERIALS AND METHODS: To determine the clinical symptoms and to assess improvements in postoperative pain, 52 patients in whom single-level posterior lumbar decompression was planned were randomly assigned to 3 groups. For postoperative pain control, 18 patients received a preoperative single-shot epidural injection (SEI), 16 patients received a postoperative continuous epidural injection (CEI), and 18 patients received only postoperative intravenous patient-controlled analgesia (IV-PCA). Patient ratings of pain intensity (visual analog scale score from 0 [no pain] to 10 [most severe pain]), nausea (from 0 [no nausea] to 5 [severe nausea]), and vomiting (from 0 [no vomiting] to 5 [severe vomiting]) were recorded immediately after the operation and at 4 hours, 12 hours, 1 day, and 2 days postoperatively. RESULTS: The CEI group showed significantly enhanced analgesic effects, followed by the SEI group and the IV PCA group (p < 0.05). PONV due to postoperative pain control was more severe in the IV PCA group than in the other 2 groups (p < 0.05). CONCLUSIONS: Continuous epidural injection (CEI) is effective for postoperative pain control and minimizes the occurrence of PONV after posterior spinal decompression.
Analgesia ; Analgesia, Patient-Controlled ; Decompression ; Humans ; Injections, Epidural ; Methods ; Nausea ; Pain, Postoperative ; Passive Cutaneous Anaphylaxis ; Postoperative Nausea and Vomiting ; Prospective Studies ; Spinal Stenosis ; Vomiting

OBJECTIVES: This study compared the early postoperative analgesic effects and the postoperative nausea and vomiting (PONV) associated with 3 methods of pain control after posterior spinal decompression.SUMMARY OF LITERATURE REVIEW: Spinal surgery causes severe postoperative pain. Efficient and safe methods for postoperative analgesia after spinal surgery are necessary. MATERIALS AND METHODS: To determine the clinical symptoms and to assess improvements in postoperative pain, 52 patients in whom single-level posterior lumbar decompression was planned were randomly assigned to 3 groups. For postoperative pain control, 18 patients received a preoperative single-shot epidural injection (SEI), 16 patients received a postoperative continuous epidural injection (CEI), and 18 patients received only postoperative intravenous patient-controlled analgesia (IV-PCA). Patient ratings of pain intensity (visual analog scale score from 0 [no pain] to 10 [most severe pain]), nausea (from 0 [no nausea] to 5 [severe nausea]), and vomiting (from 0 [no vomiting] to 5 [severe vomiting]) were recorded immediately after the operation and at 4 hours, 12 hours, 1 day, and 2 days postoperatively. RESULTS: The CEI group showed significantly enhanced analgesic effects, followed by the SEI group and the IV PCA group (p < 0.05). PONV due to postoperative pain control was more severe in the IV PCA group than in the other 2 groups (p < 0.05). CONCLUSIONS Continuous epidural injection (CEI) is effective for postoperative pain control and minimizes the occurrence of PONV after posterior spinal decompression.