Change of Cellular Immunity and T Cell Subset of Mouse Immunocytes Activated by Fractionated Bacillus Calmette-Guerin / 대한비뇨기과학회지

PURPOSE: To develope the bacillus Calmette-Guerin(BCG) antitumor component therapy which could reduce the adverse effect of intravesical BCG therapy, we investigated the effect of the fractions of BCG on the immune responses of mouse and compared with whole BCG. MATERIALS AND METHODS: Seven fractions, 4(fraction 1, 2, 3, 4) from BCG cell wall and 1 (fraction 7) front BCG cytoplasm and 2(fraction 5, 6) mixed, were collected by multiple ultrasonification and centrifugation of BCG solution and the difference of each fraction was confirmed by spectrophotometric absorbance. Change of lymphokine killer(LAK), natural killer(NK) and tumor cell dependent cytotoxic(TCDC) activities of mouse spleen cells were investigated by 51Cr releasing assay and proportion of T cell subset in mouse spleen and peritoneal lymhocytes were investigated by flow cytometric analyses using monoclonal antibodies to mouse CD4, CD8 and CD2S cells. RESULTS: In LAK and NK activities, fraction 1, 2 and 3 showed similar results with whole BCG. In TCDC activity, the all 7 fraction showed lower activities compared with BCG. In T cell subset analyses, similar results were found in fraction 1, 2 and 3 compared with whole BCG. CONCLUSIONS: We could suggest that the antitumor activity of BCG seems to be mediated by some component in cell wall. Further investigations which could elucidate these findings should be necessary.

The Study of Motion of Two Components in Bipolar Hemiarthroplasty / 대한정형외과학회잡지

The bipolar hemiarthroplasty is one of the treatment methods of the avascular necrosis of the femoral head and the fracture of the femur neck. The mechanism of bipolar hemiarthroplasty is intended to distribute the forces at the site of the inner and outer articulation, and theoritically diminish acetabular wear and produce a painless arthroplasty. The authors analyzed motion of two components in 23 cases of the bipolar hemiarthroplasty, performed at the Department of Orthopaedic Surgery, Korea University Hospital, between January, 1985 and January, 1993 with average 47 months follow up(range 24 to 84 months). The results obtained were as follows: 1. In the motion of the two components, inner bearing motion was average 11.5 degrees(from 1 to 29 degrees) and outer bearing motion was average 21.4 degrees(from 3 to 45 degrees). 2. The inner bearing motion was highest at 12 months with average 16 degrees and outer bearing motion was lowest during the same period with average 15 degrees. During the follow up the inner bearing motion was decreased whereas outer bearing motion was increased. 3. The inner or outer bearing motion of bipolar component was no correlation with age, sex and clinical result.

Clinical Analysis of Common Peroneal Nerve Repair / 대한정형외과학회잡지

Common peroneal nerve injury has been reported as the most frequent lower extremity peripheral nerve injury. The peroneal nerve may be particulary prone to direct or indirect injury by penetrating trauma or external compression by it's superficial route to bony prominence of fibular neck. By the development of microsurgical technique, recently epineural repair, fascicular group repair, and interfascicular graft were tried. The authors have experienced five cases microsurgical repair of common peroneal nerve injury around the knee joint from December 1990 to November 1991, and motor and sensory result was relatively good.