No abstract available.

Despite a variable degree of comminution, the intra-articular fracture of the distal radius comprises four basic fragments : 1.Radial shaft; 2.Radial styloid; 3.Dorsal medial fragment; 4.Palmar medial fragment. For the period of 3 years from May 1984 to May 1987, 26 patients who had been treated for intra-articular fracture of the distal radius by various methods at the Department of Orthopedic Surgery, Kang Nam Sacred Heart Hospital, Hallym College are presented. According to the objective criteria of Scheck(18) used for calculating the degree of anatomic position change, the result obtained were as follows : 1. The most common fracture type was Type II by Melon(6) classification. 2. The average age of patients was 34 years old. 3. We agree that the accurate anatomic reduction with internal fixation assures better results in the distal radius intra-articular fracture. 4. CT scan was necessary for the accurate diagnosis of articular surface destruction. 5. Accurate relationship of the anatomic and functional result could be analyzed by Scheck(18) and Melon(6) concepts.
Classification ; Clinical Study ; Diagnosis ; Fractures, Comminuted ; Heart ; Humans ; Intra-Articular Fractures ; Orthopedics ; Radius ; Tomography, X-Ray Computed

Study of 22 cases with the pseudospondylolisthesis established that it occurred more frequently in the older women, and far more frequently at the L4 level, as same results as reported by others. The slipping occurred as a result of degenerative disease of the articular process and facet joint, but it never exceeded 25% in this series. This study was performed to recognize the stability of the lumbosacral joint by the measurement of the anterior and posterior vertical heights(deformity) of the body of the L5 vertebra and lumbosacral angles in our cases. We also attempted to observe whether the facet angle changes at the involved level was meaningful or not. Result : lumbosacral angles in the our patients with pseudospondylolisthesis were increased greater than normal, so lumbar lordosis was less than normal. The body of the L5 vertebra was not as wedged anteroposteriorly as it normally was. The contour of the body of the L5 vertebra resembled rectangle shape. The pedicle-facet angles were increased at involved level, but this measurement was not correctly demonstrated on the plain roentgenograms. Conclusion : The stability of the lumbosacral joint in the patients with pseudospondylolisthesis was increased due to rectangle shape of the body of the L5 vertebra and less lumbar lordosis. The pedicle-facet angles at the involved level were increased, but not correct diagnostic values.
Animals ; Female ; Humans ; Joints ; Lordosis ; Spine ; Zygapophyseal Joint

No abstract available.
Gram-Positive Bacterial Infections* ; Teicoplanin*

No abstract available.
Bronchoalveolar Lavage Fluid* ; Bronchoalveolar Lavage* ; Early Diagnosis* ; Pneumocystis carinii* ; Pneumocystis* ; Pneumonia, Pneumocystis*

Eighteen intracranial aneurysm were operated upon with direct approach under the surgical microscope. The aneurysms arising in the anterior communicating artery(8) were most common, followed by internal carotid artery(6), middle cerebral artery(2), posterior communicating artery(1), anterior cerebral artery(1) in order. We preferred pterional approach. And the timing of operation was scheduled as soon as possible if other conditions permitted. Mannitol administration, hypotensive anesthesia, Sugita clip, biobond or aneurysmostat were utilizes during the operation. The aneurysmal neck was clipped with Sugita clip mostly, but wrapping was also carried out in certain condition. The elasticity of the Sugita clip is seemed to be better than others. In even Sugita clip, however, overopening at the time of clipping made it weak and resulted in incomplete occlusion of the aneurysm neck. To obtain successful aneurysmal surgical result, following surgical care should be taken. 1) lesser brain retraction, 2) complete removal of subarachnoid clots, 3) Meticulous hemostasis of micro-oozing from bridging vein and internal dural surface. Uneventful two surgical cases were found to be fatal due to hidden post-operative oozing clots from the internal surface of the dura.
Anesthesia ; Aneurysm ; Brain ; Elasticity ; Hemostasis ; Intracranial Aneurysm* ; Mannitol ; Neck ; Veins

Purpose: This study examined the effects of the postoperative administration of parathyroid hormone (PTH) on fracture healing in intertrochanteric fractures accompanied by osteoporosis in elderly females. Materials and Methods: Female patients aged 65 years and more who underwent surgery after a diagnosis of intertrochanteric fractures and osteoporosis during the period from July 2013 to December 2017 were included as subjects. The subjects were divided into two groups: PTH-treated group and non-PTH-treated group. The formation time of the first callus, timing of the bridging callus, and time of bony union for both groups were evaluated. Results: In the PTH-treated group, the mean time of the first callus formation, average time of bridging callus, and the average time of bony union were 32, 58, 83 days, respectively, which were significantly shorter than that of the untreated group. Conclusion PTH, a treatment for osteoporosis, promotes callus formation and the healing process. Therefore it will be helpful in intertrochanteric fractures accompanied by osteoporosis in elderly females.

To identify new bio-markers as well as potential targets for new drugs for epithelial ovarian cancer (EOC), we compared the gene expression profiles of cancer tissues from 25 EOCs with human ovarian surface epithelium (HOSE) using in-house cDNA microarray specified to EOC. Based on a comprehensive method and information from the National Cancer Institute (NCI) Cancer Genome Anatomy Project (CGAP), the cDNA library was constructed. After excluding the overlapping clones, 768 spots were included in the array. We identified the genes and expressed sequence tags (ESTs) (30 up-regulated and 34 down-regulated) that are differentially expressed in EOC tissues. To confirm the expression data, we performed real time RT-PCR experiments. Using microdissected EOC tissues and cell lines, we investigated the expression status of the NET-1 gene, clusterin gene, and actin-binding LIM protein 1. The information provided here will be useful for identifying genes whose products might serve as molecular signatures for the biomakers of EOCs.
Cell Line ; Clone Cells ; Clusterin ; DNA, Complementary* ; Epithelium ; Expressed Sequence Tags ; Gene Expression* ; Gene Library ; Genome ; Humans ; National Cancer Institute (U.S.) ; Oligonucleotide Array Sequence Analysis* ; Ovarian Neoplasms ; Transcriptome*

A 31-year-old male presented with severe back pain and paraparesis. Imaging studies demonstrated an extraosseous, extradural mass without bone invasion at the T11-T12 vertebral level, located dorsal to the thecal sac. The spinal cord was compressed ventrally. The lesion was completely excised after a T11-T12 laminectomy. Histopathological examination revealed a cavernous hemangioma. The patient's symptoms improved after excision of the lesion.
Adult ; Back Pain ; Epidural Neoplasms ; Hemangioma, Cavernous* ; Humans ; Laminectomy ; Male ; Paraparesis ; Spinal Cord ; Thoracic Vertebrae

Dysphagia lusoria (swallowing difficulty due to trick of nature) is used to describe the symptomatic compression of the esophagus from any anomalous vessel of aortic arch. Aberrant subclavian artery, the most common anomaly of aortic arch can cause dysphagia lusoria by its direct compression of the esophagus or its aneurysmal dilatation. Patient with dysphagia lusoria can be treated with dietary modification, medications (antireflux drugs, prokinetics) in early symptomatic phase, and with surgical correction (via thoracic or extrathoracic approach) in late symptomatic phase or selective cases. We experienced a case of 44-year-old man who suffered from progressive swallowing difficulty for solid foods. We evaluated the possible causes of motor or mechanical dysphagia by esophageal manometry, esophagography, esophagogastroduodenoscopy, and chest computerized tomography. We finally diagnosed this case as dysphagia lusoria due to group 3 aberrant left subclavian artery.
Adult ; Aneurysm ; Aorta, Thoracic ; Deglutition ; Deglutition Disorders* ; Dilatation ; Endoscopy, Digestive System ; Esophagus ; Food Habits ; Humans ; Manometry ; Subclavian Artery ; Thorax