Form stability test on gastric aspirate was performed on 102 cases of newborn within 30 minutes afterbirth, who were admitted to Special Care Unit of St. Benedict Hospital from Sep. 1977 to Aug. 1979, and following results were obtained. 1) There was no differnce between amniotic fluid and gastric aspirate in control group. 2) In all newborn infants with positive form stability test, respiratory distress syndrome was not developed. 3) Respiratory distress syndrome was observed in 75% by Clements method and 55% by Transwell's method in negative form stability test group. 4) The frequency of negative foam stability test and incidence of respiratory distress syndrome were higher in the group of younger gestational age, smaller body weight and lower Apgar score at birth respectively.
Amniotic Fluid ; Apgar Score ; Body Weight ; Female ; Gestational Age ; Humans ; Incidence ; Infant, Newborn* ; Parturition

No abstract available.
Bilirubin* ; Infant, Newborn ; Jaundice, Neonatal*

No abstract available.
Emergencies* ; Emergency Medicine* ; Internship and Residency*

No abstract available.
Breast Feeding* ; Breast* ; Statistics as Topic*

No abstract available.

Esophageal atresia with tracheoesophageal fistula is due to an error in ontogenetic development which occurs befose the sixth week of gestation. An ovearll incidence of one in 3,000 deliveries is generally accepted, and approximately 85 percent of the reported cases consist of esophageal atresia with a fistulous connection between the lower esophageal pouch and the trachea. Associated anomalies are common and often are the most significant factor influencing survival. The female, birth weight 2,450gm, was born at our hospital. After birth the infant cried immediately, breathed spontaneously and did well initially, but after minutes appeared excessive mucus in the pharynx, and sterile water was given 6 hrs later but immediately vomited, some of it regurgitating through the nose and mouth with chocking, coughing and cyanosis. A Nelaton catheter was inserted through the esophagus but met a solid obstructed region at 14cm from the noses. A plain abdomen showed air in the stomach and small intestine, and in esophagogram with Dionosil, esophageal atresia with tracheoesophageal fistula was shown. A brief review of related literature is also noted.
Abdomen ; Birth Weight ; Catheters ; Cough ; Cyanosis ; Esophageal Atresia ; Esophagus ; Female ; Humans ; Incidence ; Infant ; Intestine, Small ; Mouth ; Mucus ; Nose ; Parturition ; Pharynx ; Pregnancy ; Propyliodone ; Stomach ; Trachea ; Tracheoesophageal Fistula* ; Water

Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)induces apoptosis in some cancer cells such as breast,prostate,lung,and colon cancer cells,but not normal cells.However,because the effects of TRAIL in gastric cancer cells is unclear,we undertook this study to clarify the effects of TRAIL and its mechanism. To assess the cytotoxicity of TRAIL,two human gastric cancer cell lines,SNU-484 and SNU601,were treated with TRAIL (0-200 ng/mL)in the presence or absence of cycloheximide (1 microgram/mL)for 24 h.Both SNU-484 and SNU-601 were sensitive to TRAIL-induced cell death in a dose-dependent manner.The combination of TRAIL (100 ng/mL)and cycloheximide (1 microgram/mL)for 24 h enhanced cell death and PARP cleavage by promoting activations of caspase-8, caspase-9,and caspase-3,relative to that of TRAIL alone.We further examined the expressions of death receptor 4 (DR4),death receptor 5 (DR5),and FLICE inhibitory protein (FLIP).Although DR4 and DR5 were expressed in both cell lines,the expression of long form (FLIPL )and short form (FLIPS )of FLIP were detected at the low levels. Overexpression of FLIPL or FLIPS in both cell lines rendered the cells resistant to TRAIL.Taken together,our results suggest that FLIP promotes human gastric cancer cell survival against TRAIL-induced apoptosis and is important modulator for TRAIL-induced cell death in human gastric cancer cells.
Apoptosis ; CASP8 and FADD-Like Apoptosis Regulating Protein ; Caspase 8 ; Cell Death ; Cell Line ; Cell Survival ; Colonic Neoplasms ; Cycloheximide ; Humans* ; Necrosis* ; Receptors, TNF-Related Apoptosis-Inducing Ligand ; Stomach Neoplasms*

We experienced one case of Beckwith syndrome. This one day aged male neonate manifested macroglossia, umbilical hernia, visceromegaly, hypoglycemia, gigantism and polycythemia. A brief review of related literature is also presented.
Gigantism ; Hernia, Umbilical ; Humans ; Hypoglycemia ; Infant, Newborn ; Macroglossia ; Male ; Polycythemia

Left ventricular free wall rupture following acute myocardial infarction (AMI) is the second most common cause of death and has been reported to be responsible for 4 to 24% of all infarction deaths. The rupture occurs anywhere from a few hours to several days after AMI. The common findings of ventricular rupture are persistent chest pain bradycardia and shock. This may be often mistaken for the ruptured dissection of the ascending aorta. The different points from dissection are 1) persistent chest pain 2)persistent ST segment elevation and 3) only intramural hematoma in ascending aorta. We have sucessfully managed two patients with postinfarction myocardial rupture. Surgical management consisted of infarctectomy repairi of the ventricular rupture and coronay artery bypass grafting. We conclude that successful surgical management of ventricular free wall rupture should require prompt diagnosis and emergency operation.
Aorta ; Arteries ; Bradycardia ; Cause of Death ; Chest Pain ; Diagnosis ; Emergencies ; Heart Rupture* ; Hematoma ; Humans ; Infarction ; Myocardial Infarction ; Rupture ; Shock ; Transplants

PURPOSE: We compared the contrast enhancement patterns of hepatocellular carcinomas(HCC), hemangiomas, and metastasis on two phase imagings to determine the value of two phase dynamic CT in the differential diagnosis. MATERIALS AND METHODS: Two phases spiral volumetric CT scan were obtained 45 seconds and 6 minutes after bolus injection of contrast material in 106 patients. A bolus of 100 mL of nonionic contrast material was administered intravenously at a injection rate of 2 mL/sec. RESULT:In Hepatocollular carcinoma, 47% were totally hyperdense and 30% were totally hypodense in early phase, and 82% were totally hypodense in late phase. In hemangioma, 90% were peripherally hyperdense in early phase, 52% were isodense and 27% were totally hyperdense in late phase. In metastatic liver malignancies, 65% were hypodense and 32% were peripherally hyperdense in early phase, and 79% were hypodense in late phase. CONCLUSION: Two phases spiral volumetric CT scaning is considered to be heplful in the differential diagnosis of hepatic tumors.
Diagnosis, Differential* ; Hemangioma ; Humans ; Liver ; Neoplasm Metastasis ; Spiral Cone-Beam Computed Tomography ; Tomography, Spiral Computed*