No abstract available.
Thoracic Wall* ; Thorax*

No abstract available.
Chest Pain* ; Thorax*

No abstract available.

A histopathological study was performed on nevus sebaceus to observe its aging effect based on 75 cases of neuvs sebaceus those were collected during the past 10 years from three university hospitals in Seoul. The results are as follows: 1) Clinical findings The incidence was most frequent in the teenage group. The 75 cases consisted of 41 males and 34 females with a sex ratio of 1.2:1. Most of cases developed in the head and neck areas with 62.7% on the scalp and 29.3% on the face. 2) Histopathologic findings. The epidermal changes such as acanthosis(40%), papillomatosis(73%), hypergranulosis(44%) were most remarkable in the second decade and gradually decreased with aging. The apparent proliferation of sebaceous gland was observed in 73% and it was most prominent in the second decade. Apocrine glands were absent before the first decade but apparently increased after then. Proliferation of eccrine gland was not significant in all the age groups. Mild increase of immature hair follicles were noted in 49% of our cases with gradually decreasing tendency in the older age. The dermal inflammatory infiltrates were noted from the 2nd decade(28%) and thereafter gradually increased. Associated neoplasms were one apocrine adenoma, one sebaceous adenoma, two trichilemmomas and two arteriovenous hemangiomas. The majority of tumors occured in the third decade. Therefore, it is observed that neuvs sebaceous undergoes dynamic histopathologic changes according to the age of patient and later develop various secondary neoplastic changes. The pathogenesis of the nevus sebaceus is suggested to be closely related with developmental anomalies of primitive hair germ units in fetal stage.
Adolescent ; Male ; Female ; Humans ; Incidence

The peripheral vascular occlusion in the diabetes was studied in fifty-nine male and forty-six female diabetic patients by means of doppler flow meter performed on the dorsalis pedis arteries & post. tibial arteries of the both lower limbs. Patients were divided into two groups, one with occlusion and the other without occlusion. Various predisposing factors causing peripheral vascular occlusions were examined. The results are summerized as follows: 1. Peripheral vascular occlusions were more prevalent in male than in female (male: 25.4%, female: 17.4%). 2. In male patients age, plasma cholesterol level & smoking were statically significant among the various predisposing factors between occlusion & nonocclusion groups. 3. In female patients, duration of diabetes mellitus and the sugar levels of fasting blood and post prandial 2 hours were statiscally significant.
Arteries ; Causality ; Cholesterol ; Diabetes Mellitus ; Fasting ; Female ; Foot ; Humans ; Lower Extremity ; Male ; Open Bite ; Plasma ; Smoke ; Smoking ; Tibial Arteries

Intramedullary myelitis due to bacterial meningitis associated with cervical epidural abscess is very rare. Its cause and clinical features are non-specific, therefore exact diagnosis is often missed or mistaken for other disease and immediate treatment may be delayed. We report a case of intramedullary myelitis due to epidural abscess presented with prominent symptoms of meningitis and manifestations of acute cerebrovacular accident. A 69 -year-old man was admitted due to right hemicranial headache with pain on right posterior neck and febrile sensation. At first, the patient's headache was improved by conservative therapy. Three weeks later, the patient showed abrupt right hemiparesis (MRC grade 2/5) with drowsy mentality. The CSF findings of the patient were compatible with acute bacterial meningitis. Cervical spine MRI showed cervical epidural abscess and extensive intramedullary myelitis from cervical to lumbar spinal cord. After antibiotic therapy, mentality of the patient became to be alert and right hemiparesis was improved to MRC grade 4/5. Follow up cervical spine MRI after several weeks represented that the lesions of cervical epidural abscess and intramedullary myelitis were significantly diminished.
Diagnosis ; Epidural Abscess* ; Follow-Up Studies ; Headache ; Humans ; Magnetic Resonance Imaging ; Meningitis ; Meningitis, Bacterial* ; Myelitis* ; Neck ; Paresis ; Sensation ; Spinal Cord ; Spine

No abstract available.
Femur* ; Fracture Fixation, Intramedullary* ; Tibia*

Purpose: The purpose of this study was to describe prenatal nursing intervention studies on pregnant women and their families published in Korean nursing journals to identify research trends and to analyze the characteristics of intervention studies. Methods: This scoping review was conducted using Arksey and O’Malley’s framework. We identified a research question and searched six domestic electronic databases for relevant articles. Forty-five references that met the inclusion and exclusion criteria were finally selected. We extracted the data using an analytic framework, and then collated and summarized the characteristics of the intervention studies. Results: The most frequently used research designs were non-randomized controlled trials (91.1%), and only a few studies applied a specific theoretical framework (26.1%). The participants were mainly pregnant women only (64.4%) during the third trimester (51.1%) of pregnancy. Prenatal education was the most common type of intervention (48.9%), followed by complementary therapy (37.8%) and psychosocial support programs (13.3%). The most commonly used outcome variables were drawn from the psychological domain (44.5%), although distinct types of outcome variables—especially from the psychological and physical domains—were used to measure the effectiveness of different types of prenatal interventions. Conclusion This review suggests that further prenatal nursing intervention studies in Korea should expand the study participants to include pregnant women’s family members, high-risk and vulnerable groups, and women throughout entire pregnancy. Furthermore, it is necessary to develop integrative prenatal nursing interventions that promote family support and participation by facilitating partnerships among women, families, and nurses before, during, and after pregnancy.

No abstract available in English.
Clinical Study ; Humans ; Low Back Pain ; Psychological Tests

The lateral syndesmosis malleolar complex is a factor of importance for congruence and stability of the ankle joint. The failures of function due to excessive talar motion or instability and incongruity, predisposes the osteoarthritis of ankle joint. The authors analysed 46 cases of lateral malleolar fracture with diastasis in our department during the years 1976 through 1986. The results obtained are as follows. 1. The most common cause of injury was slipping down and the other causes were falling down and traffic accident in order. 2. The types by Weber classification showed 21 cases of type BS(+) and 25 cases of type C. The most common type by Lauge-Hansen classification was supination-external rotation type(21 cases, 45.7%). 3. Partial diastasis was noted in 25 cases(54.3%) and total diastssis in 21 cases(45.7%). 4. Open reduction was performed in 43 cases. For the treatment of diastasis, 20 cases were treated with transfixation screws, 9 cases with repair of anterior inferior tibiofibulsr ligament and 11 cases with both method. 5. According to colton's criteria, the result was good in 24 cases(65%), fair in 10 cases (27%) and poor in 3 cases(8%). 6. The incidence of traumatic arthritis was 29.7%(11 cases).
Accidental Falls ; Accidents, Traffic ; Ankle Joint ; Arthritis ; Classification ; Clinical Study ; Incidence ; Ligaments ; Methods ; Osteoarthritis