7 research outputs found

    Report of results of pleural biopsy (Needle biopsy and open biopsy) in 108 cases and 245 biopsies

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    1. The results of 245 pleural biopsies perfomed in 108 patients including 219 pleural needle biopsies and 26 pleural open biopsies were reported. The method of pleural biopsy seems to be superior to any other currently available diagnostic procedures for the etiological diagnosis of pleurisy. 2. When the pleural needle biopsy is compared with the pleural open biopsy, the former method has definite advantages over the open biopsy. The pleural needle biopsy is simple, repeatable and has almost no complication. The method of pleural needle biopsy is the initial method of choice as Donohoe correctly stated and should be employed in every cases of the pleurisy to confirm the etiological diagnosis. The open biopsy should be reserved only for those cases in whom the needle biopsy had not proved satisfactory. 3. Utilizing the method of needle biopsy, the pathological diagnosis was made in 86 per cent of our cases at the initial biopsy. By repeated needle biopsies, the results have improved to 91-92 per cent. 4. Most of the failures of the pleural needle biopsy were noted at the early stage of the study due to the unfamiliarity of the biopsy technique and later due to the incooperation of the patients. 5. The presence of the free pleural fluid serves as a convenient guide for the performance of the needle biopsy but successful needle biopsy was easily done without presence of pleural fluid when there is adequate pleural thickening. 6. 63-75 per cent of our diagnosed cases were proved to have granulomatous pleuritis, 13-31 per cent non-specific pleuritis and 5.4-5.8 per cent eosinophilic pleuritis due to paragonomiasis. The distribution of this pathological diagnosis seems to reflect quite well the actual picture of incidences of pleurisy of various different etiology in young adults in Korea. 7. The relationship of the success in obtaining adequate tissue by needle biopsy and interval between onset of symptom and biopsy was discussed. It was found that the interval has no significant effect on the production of adequate tissue by needle biopsy if the time elapsed is 4 weeks or more from the onset of symptom. 8. The significance of the pathological findings of ranulomatous pleuritis at one biopsy and non-specific pleuritis at another biopsy in the same patient was discussed. It is concluded that the single finding of nonspecific pleuritis at one needle biopsy cannot rule out the presence of granulomatous pleuritis and it is recommended that pleural biopsy be repeated whenever necessary. 9. The diagnostic significance of the chemical analysis of the pleural fluid was discussed in correlation with the results of the pleural needle biopsies. It is concluded that the number of examinations are not quite sufficient to draw any definite conclusion at the present stage of our study. 10. The finding of sanguinous pleural fluid in the patient of granulomatous pleuritis is quite high (72.7 %) and it was found that the sanguinous pleural fluid was most frequently found in the patients with granulomatous pleuritis in non-cancerous age. 11. Two groups of pleurisy patients with or without parenchymal lung lesion on chest X-ray were discussed in correlation with the results of the needle biopsy. It was found that the incidence of the pathological evidence of granulomatous inflammation on the biopsy specimens in these two groups is almost the same regardless of the presence of the demonstrable parenchymal lung lesion. 12. Histopathological finding of granulomatous pleuritis was discussed in conjunction with the significance of two types of tubercles, the soft tubercles and hard tubercles. In all specimens diagnosed as granulomatous pleuritis granulomas were demonstrated ranging from large, conglomerate tubercles with central caseation or giant cells to small granulomas without central caseation or Langhans' giant cells. 13. Histopathological significance of the finding of non-specific pleuritis on the biopsy specimens was discussed and the existence of a specific entity of &#34;non-specific pleuritis&#34; which is equivalent to the non-specific inflammation of the pericardium. 14. Cases of pleurisy due to paragonomiasis were discussed and the need of specific attention for search of new cases was emphasized.</p

    A study of vector electrocardiography.

    No full text
    The vector electrocardiographic method was applied on 126 healthy young Korean adults without any evidence of cardiac diseases. The range of the age of the subjects were between 19 and 34. The normal values of the magnitude and direction of the mean QRS, T, P vectors, ventricular gradient and QRS-T angle in frontal plane were presented and discussed in comparison with those previously reported in the literature. Considering the age of the subjects under study, our results were in general agreement with those previously reported by other authors.</p

    A study of vector electrocardiography.

    No full text
    The vector electrocardiographic method was applied on 126 healthy young Korean adults without any evidence of cardiac diseases. The range of the age of the subjects were between 19 and 34. The normal values of the magnitude and direction of the mean QRS, T, P vectors, ventricular gradient and QRS-T angle in frontal plane were presented and discussed in comparison with those previously reported in the literature. Considering the age of the subjects under study, our results were in general agreement with those previously reported by other authors.</p

    Report of results of pleural biopsy (Needle biopsy and open biopsy) in 108 cases and 245 biopsies

    No full text
    1. The results of 245 pleural biopsies perfomed in 108 patients including 219 pleural needle biopsies and 26 pleural open biopsies were reported. The method of pleural biopsy seems to be superior to any other currently available diagnostic procedures for the etiological diagnosis of pleurisy. 2. When the pleural needle biopsy is compared with the pleural open biopsy, the former method has definite advantages over the open biopsy. The pleural needle biopsy is simple, repeatable and has almost no complication. The method of pleural needle biopsy is the initial method of choice as Donohoe correctly stated and should be employed in every cases of the pleurisy to confirm the etiological diagnosis. The open biopsy should be reserved only for those cases in whom the needle biopsy had not proved satisfactory. 3. Utilizing the method of needle biopsy, the pathological diagnosis was made in 86 per cent of our cases at the initial biopsy. By repeated needle biopsies, the results have improved to 91-92 per cent. 4. Most of the failures of the pleural needle biopsy were noted at the early stage of the study due to the unfamiliarity of the biopsy technique and later due to the incooperation of the patients. 5. The presence of the free pleural fluid serves as a convenient guide for the performance of the needle biopsy but successful needle biopsy was easily done without presence of pleural fluid when there is adequate pleural thickening. 6. 63-75 per cent of our diagnosed cases were proved to have granulomatous pleuritis, 13-31 per cent non-specific pleuritis and 5.4-5.8 per cent eosinophilic pleuritis due to paragonomiasis. The distribution of this pathological diagnosis seems to reflect quite well the actual picture of incidences of pleurisy of various different etiology in young adults in Korea. 7. The relationship of the success in obtaining adequate tissue by needle biopsy and interval between onset of symptom and biopsy was discussed. It was found that the interval has no significant effect on the production of adequate tissue by needle biopsy if the time elapsed is 4 weeks or more from the onset of symptom. 8. The significance of the pathological findings of ranulomatous pleuritis at one biopsy and non-specific pleuritis at another biopsy in the same patient was discussed. It is concluded that the single finding of nonspecific pleuritis at one needle biopsy cannot rule out the presence of granulomatous pleuritis and it is recommended that pleural biopsy be repeated whenever necessary. 9. The diagnostic significance of the chemical analysis of the pleural fluid was discussed in correlation with the results of the pleural needle biopsies. It is concluded that the number of examinations are not quite sufficient to draw any definite conclusion at the present stage of our study. 10. The finding of sanguinous pleural fluid in the patient of granulomatous pleuritis is quite high (72.7 %) and it was found that the sanguinous pleural fluid was most frequently found in the patients with granulomatous pleuritis in non-cancerous age. 11. Two groups of pleurisy patients with or without parenchymal lung lesion on chest X-ray were discussed in correlation with the results of the needle biopsy. It was found that the incidence of the pathological evidence of granulomatous inflammation on the biopsy specimens in these two groups is almost the same regardless of the presence of the demonstrable parenchymal lung lesion. 12. Histopathological finding of granulomatous pleuritis was discussed in conjunction with the significance of two types of tubercles, the soft tubercles and hard tubercles. In all specimens diagnosed as granulomatous pleuritis granulomas were demonstrated ranging from large, conglomerate tubercles with central caseation or giant cells to small granulomas without central caseation or Langhans' giant cells. 13. Histopathological significance of the finding of non-specific pleuritis on the biopsy specimens was discussed and the existence of a specific entity of &#34;non-specific pleuritis&#34; which is equivalent to the non-specific inflammation of the pericardium. 14. Cases of pleurisy due to paragonomiasis were discussed and the need of specific attention for search of new cases was emphasized.</p

    Pure Pulmonic Stenosis Report of Two Cases and Review of the Literature

    No full text
    Two typical cases of pure, isolated pnlmonic stenosis were studied by means of cardiac catheteriration during the past 12 months. On one of them the Brock type of valvulotomy was performed and this is the first case of pulmonic stenosis operated surgically in Korea. The results of the pulmonic valvulotomy was satisfactory initially. The patient had improved subjectively and venous pressure and circulation time returned to the normal level. However, 4 month postoperatively follow up study showed worsening of subjective symptoms again and re-catheterization was performed. There was an increased right ventricalar pressure. The reason of the failure of the operation was discussed

    Inflation Targeting: The British Experience

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    This lecture describes the United Kingdom's experience with inflation targeting. It provides a historical perspective to the introduction of inflation targeting, discusses the concept of inflation targets, and compares an inflation targeting regime with money supply and exchange rate targeting regimes. It is noteworthy that inflation targeting is based on the assumption that low inflation is the proper objective of monetary policy. A significant portion of the lecture covers the issue of the measurement of inflation. It discusses whether asset prices should be taken into account in the inflation measure and looks in particular at the experience of Japan in the late 1980s. It also considers sources of imperfection in traditional measures. It concludes that monetary policy will have to be conducted by reference to estimated price indexes that fall short of the conceptual ideal but does not regard this as seriously undermining an inflation targeting regime. The lecture goes on to discuss the issues of (1) having a target band for inflation or not, (2) the difficulty in forecasting inflation, and (3) the time horizon over which monetary policy should aim. The lecture highlights the important role that openness and transparency play in achieving credibility in monetary policy. It highlights the five devices that are now in use in the United Kingdom, and notes some of the benefits emerging from the open and transparent nature of the United Kingdom approach. It concludes by warning that inflation targeting does not promise to make monetary policy easy but does have the positive virtue of directing attention to many technical issues that need to be resolved in conducting monetary policy.Inflation, Targeting, British

    Stateczne matrony i cnotliwe panny, czyli „Księga ubiorów gdańskich” Antona Möllera w kontekście europejskiej tradycji Trachtenbüchern

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    Clothing as a symbol of position and financial status was a matter of concern for authorities and moralists who wanted everyone to be clad according to their place in society. The attire can be also a subject of art work like in the published on 4th July 1601 in a Gdańsk publishing house of Jacob Rhode album containing 20 woodcuts invented by Anton Möller, picturing a common dress for women from different conditions in Gdańsk. On each page there is shown a group of Gdańsk women citizens clothed in a way typical for Gdańsk in that period (which was inspired with a Spanish fashion). Every scene has a commentary in a form of Latin and German inscriptions describing the details of a representation. As we know the name of its inventor, the names of the printmaker and the author of poems remain undiscovered. The album is an example of so called Trachtenbüchern, cycles showing costumes from different parts of the world, that were popular in the 16th century. This late example of such works is unlike all the others sacrificed to one city and the dress of its women dwellers. It shows a synthetic vision of fashion in Gdańsk and the most characteristic types of women that we could meet on its streets. And so we see severe matrons, young ladies praying for a good husband, nannies and nurses with children, maids, all shown in typical for them situations. There are also depicted the most important moments from the 17th century women’s life such as wedding, baptism and funeral. Certainly, apart from the clothing, custom plays here a significant role. However the cycle is a homogeneous reflection of the women’s world in Gdańsk in the 17th century, it certainly has also a didactic meaning. It shows a proper way of clothing suitable for women from every condition. Reminiscences of Möller’s album are visible in The Apotheosis of Gdańsk by Isaack van den Block, A view from Königsberg by Joachim Bering from 1613 and in the 18th century cycle of prints Danziger Ausrufer by Matthäus Deisch
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