The Changing Patterns of Psychiatric Consultations at a General Hospital / 신경정신의학

We have studied the changing patterns of psychiatric consultation in a general hospital for 10 years . Results were as follows 1) The annual psychiatric consultation rate was 1.64%. 2) In age group, elderly patients above 60's had increasing tendency of consultation. 3) The referred patients from department of Internal medicine was the highest and ones from neurology department were increasing recently. 4) Most of the patients were consulted during the month of lune, f311owe4 by April, March and May. 5) The most frequent reason far their psychiatric consultation was psychiatric complaint without specific evidence of lab. data but physical problems. 6) In the psychiatric diagnoses of the consulted patients, organic mental disorders were the first, and depression was the second in order.

Treatment of tibial fractures by interlocking intramedullary nailing / 영남의대학술지

The adequate treatment of tibia fracture is one of the most difficult due to severe commiuntion, open wound, delayed union, angulation deformity and infection. We treated 38 fractures of the tibia by Interlocking intramedullary nail from Feb. 1983 to Mar. 1993. 35 cases of the tibia fracture were fresh, 13 cases of fracture were open. The other 3 cases were delayed union and nonunion. The Mean follow-up was 14.0 months. The results were as followings. 1. Of the 38 fractures, 37 fractures united and the mean union time was 18.7 weeks. 2. Interlocking intramedullary nail could be used to the majority of fractures of the proximal & distal tibia shaft. fractures. 3. The Im erlocking nail had rigid rotational stability and was appropriate for the treatment in severe unstable fractures, commninution and open-with bone loss. 4. Delayed union or nonunion was a good indication for intramedullary nailling. 5. The major-complication were valgus deformity of 2 cases, varus deformity of 1 case, 1 case deep infection. 6. Interlocking intramedullary nailing provided rigid fixation of . fracture and then made early joint motion exercise and ambulation.