The Formation and Background of Claude Bernard's General Physiology / 의사학

Claude Bernard, a French physiologist in the nineteenth century, strove to establish experimental physiology as a medical branch and scientific field. In 1854, he started his lecture series on general physiology at the Paris Faculty of Sciences, which was continued at the National Museum of Natural History since 1869 when Bernard's chair was transferred from the Faculty to the Museum. At the Museum, Bernard titled his lecture series the "Phenomena of Life Common to Animals and Plants," which revealed the main characteristic of his general physiology. At that time, physiology was generally considered a medical science which dealt only with the human body. Bernard, on the other hand, came to have the idea that physiology could study the functions of plant, animal, and human bodies in the same manner. Bernard's lectures on general physiology had two distinct phases. At Sorbonne, general physiology was a rather speculative theoretical system. It was mainly because of the fact that he did not have a laboratory at the Faculty of Sciences. There, the lecture dealt only with animal functions, and he had no concern for plant physiology at all. After he moved to the Museum, significant changes occurred. In the new laboratory, general physiology was transformed into a truly experimental science, which dealt with both animals and plants. Protoplasm, a physiological basic unit, replaced tissue, which was basically an anatomical unit that fell short of explaining physiological phenomena. The Museum of Natural History played an important role in this transformation. At the museum, zoologists, botanists, and physiologists worked together, and the peculiar natural history tradition of the institution enabled scientists to study animals and plants at the same time. Although there existed some conflicts between experimentalists and naturalists, Bernard could wisely figure out the problem by asserting that the role of a physiologist was to disclose, by experimentation, the fundamental principles that lay behind the superficial facts of life that were already discovered by natural historians. At the Museum, Bernard could break down the distinction between the animal and plant kingdoms in the domain of experimental physiology, and it can perhaps be considered a step toward the formation of the general science of biology.

Cognitive Ability in Total Deafness with K-WISC / 대한이비인후과학회지

The criteria of suitability for a cochlear implant has been extended postlingual deaf adult including prelingual deaf children in their difficulty with speech and vocabulary development. The cognitve ability of deaf students has been investigated in a deaf school using Kedi-WISC. The results are as follows; 1) The deaf students were not inferior in intelligence when compared with normal hearers, but the intelligence between deaf students and normal hearers was different in quality. 2) In subtest they made higher scores at object assembly, block design and coding in senior group 3) It is supposed for deaf student that performance under vision and memory is relatively excellent although concrete and abstract tasks is retarded. No emotional disordered cases is found in this study.

The Result of the Tension Band Internal Fixation / 대한정형외과학회잡지

The principle of the tension band technique is to counteract the tensile forces acting across the fracture site and to convert them into compressive forces. We have experienced 37 fractures treated with tension band technique from 1975 to 1978 and the results are as followings; 1. 37 Cases of fracture were treated by tension band technique. Eight cases out of 37 were olecranon fractures. 16 cases were patellar fractures. 10 cases were malleclar fractures. and three cases were trochanteric fractures of the femur. 2. As post-operative immobilization, applied cast splint in almost of the cases except application of hip spica cast in trochanteric fracture. 3. The average duration of immobilization in each cases, 12 days in olecranon, two weeks in patella, four weeks in malleolus and six weeks in greater trochanter respectively. 4. The radiological union was obtained in seven weeks in olecranon, six weeks in patella, eight weeks in malleolus and six weeks in greater trochanter. 5. As complication, one case of nonunion in olecranon, one case of infection and, one case of wire breakage in patella and one case of traumatic arthritis in malleolus were noted, which needed further surgery. 6. In conclusion, tension band wiring is considered as a good method for the fractures involving joing, olecranon, patella, and malleolus because the technique has advantages such as rigid internal fixation, shortening the duration of immobilization and fracture healing and early mobilization of the neighboring joints.

A Case of Acquired Syphilitic Osteomyelitis of the Tibia / 대한정형외과학회잡지

Acquired syphilis rarely manifest itself in the skeleton, causing localised osteoscopic pain, commonly in the abscence of general systemic complaints. Diagnosis of bone syphilis can easily be made by clinical history, course of the disease, roentgeno-graphic findings, serological tests, therapeutic test of antiluetic treatment and, most reliably, by biopsy. We experienced a patient with syphilitic osteomyelitis of tbe tibia who had a history of sexual contact and the diagnosis was confirmed by serological tests and biopsy.