No abstract available.

No abstract available.
Syringoma

OBJECTIVE: The purpose of this present study was to compare mouse embryo development in 3 commercial media and hatching competence of mouse embryo with or without enzymatic treatment. METHODS: Collected 375 mouse embryos were divided into three groups, and then cultured in IVF-20 (G2), Medicult IVF (M3), P-1 (blastocyst M), respectively. Three day mouse morulae were cultured in G2 media treated with pronase. The results were analyzed using Chi-square test, and considered statistically significant when p<0.01. RESULTS: The developmental rate of 2 cell mouse embryo after 72 hours was highest in IVF-20 (G2) among conventional 3 media. The hatching rate of mouse morulae was low when clultured in G2 media without pronase during 48 hours. However, it was higher when cultured in media treated with l mg/ml, 2.5 mg/ml, 5 mg/ml pronase, respectively. CONCLUSIONS: Using good media and digestion of zona pellucida with enzymatic treatment improve development and hatching rate of embryo. Therefore, implantation and pregnancy rate could be improved.
Animals ; Digestion ; Embryonic Development ; Embryonic Structures* ; Female ; Mental Competency ; Mice* ; Morula ; Pregnancy ; Pregnancy Rate ; Pronase* ; Zona Pellucida

No abstract available.
Pregnancy* ; Pyelonephritis*

PURPOSE: We designed this study to identify and suggest the reasonable timing of adjuvant radiotherapy in the treatment of uterine carcinosarcoma according to the surgical intent and patterns of progression. MATERIALS AND METHODS: We retrospectively analyzed a total of 50 carcinosarcoma patients diagnosed between 1995 and 2010. Among these 50 patients, 32 underwent curative surgery and 13 underwent maximal tumor debulking surgery. The remaining five patients underwent biopsy only. Twenty-six patients received chemotherapy, and 15 patients received adjuvant radiotherapy. RESULTS: The median follow-up period was 17.3 months. Curative resection (p < 0.001) and stage (p < 0.001) were statistically significant factors affecting survival. During follow-up, 30 patients showed progression. Among these, eight patients (16.0%) had loco-regional progression only. The patients who had received adjuvant radiotherapy did not show loco-regional progression, and radiotherapy was a significant negative risk factor for loco-regional progression (p = 0.01). The time to loco-regional progression was much earlier for non-curative than curative resection (range, 0.7 to 7.6 months vs. 7.5 to 39.0 months). CONCLUSION: Adjuvant radiotherapy in the treatment of carcinosarcoma might be related to a low loco-regional progression rate. Radiotherapy should be considered in non-curatively resected patients as soon as possible.
Biopsy ; Carcinosarcoma ; Follow-Up Studies ; Humans ; Radiotherapy, Adjuvant ; Retrospective Studies ; Risk Factors

No abstract available.
Pulmonary Atelectasis*

OBJECTIVES: The aim of this study was to review 10 years' experience of cesarean hysterectomy at our hospital. METHODS: A retrospective study of 37 cases of cesarean hysterectomy between Jan, 1, 1989, and Dec, 31, 1998 was carried out and then method of delivery, maternal age, parity, indication for hysterectomy, amount of transfusion, factors associated with adhesive placenta, and complications of hysterectomy were analysed. RESULTS: The incidence of cesarean hysterectomy was 1 in 639 deliveries. Overall, 0.55% of cesarean sections and 0.02% of vaginal deliveries were followed by cesarean hysterectomy. The higher the age and the parity of patients, the higher incidence of cesarean hysterectomy(p=.000, respectively). The most common indication of cesarean hysterectomy was adhesive placenta(54%). Placenta previa and two more prior cesarean delivery were main risk factors for development of adhesive placenta (Odds ratio: 9.6, 6.1, respectively ; 95% Confidence interval: 2.1-43.5, 1.1-34.2, respectively). Although no maternal deaths occurred, maternal morbidity remained high, including need for transfusion in 29 patients(78%) intraoperative urologic injury in 10 patients(27%), and pulmonary congestion or edema in 7 patients(19%). CONCLUSION: As the incidence of cesarean section and its association with placenta previa and/or accreta continue to rise, we may encounter Cesarean hysterectomy with increasing frequency. Still, cesarean hystere ctomy remains a potentially life saving procedure with which every obstetrician must be familiar.
Adhesives ; Cesarean Section ; Edema ; Estrogens, Conjugated (USP) ; Female ; Humans ; Hysterectomy* ; Incidence ; Maternal Age ; Maternal Death ; Parity ; Placenta ; Placenta Previa ; Pregnancy ; Retrospective Studies ; Risk Factors

Neurodegenerative disorders cause a variety of dementia including Alzheimer disease, frontotemporal dementia, dementia with Lewy bodies, corticobasal degeneration, progressive supranuclear palsy, and Huntington's disease. PET scan is useful for early detection and differential diagnosis of these dementing disorders. Also, it provides valuable information about clinico-anatomical correlation, allowing better understanding of function of brain. Here we discuss recent achievements PET studies regarding these dementing disorders. Future progress in PET technology, new tracers, and image analysis will play an important role in further clarifying the disease pathophysiology and brain functions.
Alzheimer Disease* ; Brain ; Dementia* ; Diagnosis, Differential ; Frontotemporal Dementia ; Huntington Disease ; Lewy Bodies ; Neurodegenerative Diseases ; Positron-Emission Tomography ; Supranuclear Palsy, Progressive

Nowadays, the increased of number the elderly in the of the population is inevitable due to the development of medical science as to the extension of the average span of the human life as a result of the establishment of the public welfare system thru economic growth. Consequently, the number of old aged patients that we anesthesiologists deal with will be on the increase. We should paricularly take greater care in the anesthesia of elderly patients than we do in case of young patients. The decline in cardiopulmonary, renal, hepatic function and endocrine disease will have a great effect on anesthesia. To take account of this diminished physiologic reserve the anesthesiologist should make a routine examination of the problems in applying an anesthesia to the aged patient with regard to the peculiarity of geratric anesthesia. We have analysed 1,372 cases of geristric anesthesia during 1972~1981 at Chonnam National University Hospital. The results were as follow: 1) A total of 19035 anesthesias were done among them, patients of over 60 years were 1,372(7.2%), of which the number of male patients(63.8%) was 1.8 times greater than that of female patient(36.2%). 2) Among the 1,372 cases, 991 cases were 60~69 year old(72.2%), 335 cases were 70~79 year old (24.4%) and 46 cases were 80 year(3.4%). 3) Emergency versus elective surgical cases were 36.5% versus 63.5%. 4) Inhalation anesthesia was performed in 969 cases(70.6%), spinal anesthesia 360 cases(26.3%) and epidural anesthesia numbered 43 cases(3.1%). 5) Halothane anesthesia was markedly increased after 1979 instead of diethyl ether anesthesia. 6) Halothane in inhalation anesthesia, tetracaine in spinal anesthesia and lidocaine in epidural anesthesia were the major anesthetics. 7) In the evaluation of the preoperative condition for 613 elective surgery cases in the last 5years, 171 cases(27.6%) revealed hypertension, 136 cases(22.3%) showed abnormal chest P=A finding, 127 cases(20.7%) showed an abnormal ECG finding and 17 cases (2.8%) revediabetes mellitus. 8) Total mortality rate was 2.1%. The mortality rate of emergency surgery (4.6%) was about 4 times greater than that of elective surgery(0.7%).
Female ; Male ; Humans ; Mortality

Intraosseous lipoma is a very rare primary tumor of the bone. We report four cases of intraosseous lipoma. The patient ranged in age from 34 to 59-year-old (median age: 35 year-old). There were three men and one woman. All of four cases presented with pain. The involved bones were calcaneus in two cases, tibia in one case and ilium in one case, respectively. In all cases plain x-ray film revealed well-defined lytic lesion. Their size ranged 2 to 4.5 cm (mean size: 3.5 cm). Histologic examination showed mature adipose tissue. Three cases showed secondary changes such as atrophic bone, fat necrosis, fibrosis, dystrophic calcification, and reactive ischemic bone formation. The clinicopathologic and roentgenographic correlation are necessary in establishing correct diagnosis of this tumor.
Adipose Tissue ; Calcaneus ; Diagnosis ; Fat Necrosis ; Female ; Fibrosis ; Humans ; Ilium ; Lipoma* ; Male ; Middle Aged ; Osteogenesis ; Tibia ; X-Ray Film