Separation of the symphysis pubis in association with delivery is very rare. The Korean orthopedic and obstetrical literature pertaining to this syndrome is absent. The physiological widening is small and asymptomatic, but a separation of more than one centimeter may occur and in usually symptomatic. A twenty-six-year-old woman of separation of symphysis pubis associated with delivery was treated successfully with the treatment of reduction and pelvic band, with absolute bed rest in the lateral decubitus position.
Bed Rest ; Female ; Humans ; Orthopedics ; Pubic Bone*

No abstract available.
Carcinoid Tumor*

No abstract available.
Gene Expression* ; Microscopy, Electron, Scanning* ; Virulence*

This study examined the roles of the initial level of muscle glycogen content and available substrate on glycogen repletion in muscle. The rats were randomly assigned to normal, starvation and exercise groups. The glycogen content of muscle was lowered by starvation and exercise for the purpose of this experiment. The normal rats remained sedentary in their cage without any restriction of food and water. The exercise and starvation groups were divided each group into two subgroups depending on the degree of stress, i.e. 16 and 64 hours starvation, and 30 minutes and 2 hours exercise loading. All experimental aninals sacrificed 9~10 O'clock in the morning. The glycogen content of gastrocnemius and liver were 0.416+0.0433 and 1.70+0.410gm/100gm wet tissue in normal rats, respectively. The glycogen content of gastrocnemius in stravaton groups was reduced to 83.5 and 75.5% of the values of normal groups by starvation for 16 and 64 hours, respectively. In exercise group, the content of glycogen was reduced to 63.7 and 49.8% of the normal group by 30 minutes and 2 hours exercise loading, respectively, After above exercise loading and forced starvation, glucose, 2.0gm/100gm body weight was ingested, and 2 hours later the glycogen content was determined to evaluate the role of initial level of muscle glycogen content on the repletion in gastrocnemius, and the different amount of glucose, 1.0, 1.5 and 2.0mg/100gm body weight, was given orally, and 2 hours later the glycogen content of gastrocnemius was determined to evaluate the role of available substrate on the glycogen repleted in muscle of the lowest initial glycogen content, and the larger the amount of glucose ingestion, the larger amount of glycogen repletion in muscle. The experiment demonstrates that the reducing level of muscle glycogen and increased amount of available substrate are the important factors for the acceleration of muscle glycogen repletion, and in the aspect of repletion of glycogen, the repletion rate of liver glycogen is 2~5 times faster than that of muscle, whereas there is no difference of repletion rate of liver glycogen between starvation and exercise groups.
Acceleration ; Animals ; Body Weight ; Eating ; Glucose ; Glycogen ; Liver ; Liver Glycogen ; Muscle, Skeletal ; Rats ; Starvation ; Water

Opacification of the gallbladder after parenteral administration of contrast material usually indicates diminished renal function but can occur with normal renal function. The authors recently experienced 13 cases of such vicarious excretion of contrast media. Among 13 patients. 9 patients had renal disease unilateral ureteral stone(n=3), staghorn calculi(n=2), acute renal failure from sepsis(n=1), renal contusion(n=2) and unilateral renal artery involvement by dissecting aortic aneurysm(n=1). Of these 9 patients, 3 patients showed abnormal serum creatinine levels at the time of presentation or shortly thereafter. In 6 patients, injection of a large amount of contrast media was possibly the additional cause of vicarius excretion. There was no detectable cause in the remaining 4 patients. Heterotopic excretion of contrast media is clearly a complex phenomenon, the reason for which it is difficult to establish with certainty in each individual case. Anyhow, vicarius excretion of contrast media occurs more frequently than previously thought, and it can occur not only with abnormal renal function but with normal function also.
Acute Kidney Injury ; Contrast Media ; Creatinine ; Gallbladder* ; Humans ; Renal Artery ; Ureter

The treatment of tibial shaft fracture has become one of the most controversial subjects in orthopedic surgery. Comminuted, segmental and rotationally unstable fractures or bone defect at fraction site have problems of the fixation. The interlocking nail solve these problems. We have experienced 8 cases of the tibial shaft fractures treated with interlocking nail from 1986 to 1988. Authors analyzed these cases and out own clinical study. The results were as follows. 1. The average bone union rate was about 15 weeks. 2. The interval between operation and crutch walking was 4.3 weeks. 3. The merits of this operation were the short hospitalization and early adaptation of social activity. 4. The advantage is be able to do early ambulation without following muscular atrophy or joint stiffness. 5. The results were assessed on clinical examination and radiographic appearance by Hamza et al. An excellent results were 7 cases and good result was 1 case.
Clinical Study ; Early Ambulation ; Hospitalization ; Joints ; Muscular Atrophy ; Orthopedics ; Walking

Smooth muscle cell, the main contractile-relaxing component of the corpora cavernosa, undergoes degenerative changes when the blood supply of the corpora cavernosa is disturbed and results in erectile dysfunction. Recently, the main cause of venogenic erectile dysfunction has also been reported to be a corporal veno-occulsive dysfunction that develops following the disturbance of physiologic relaxation of the smooth muscle cell of the corpora cavernosa by degenerative and fibrotic change. The outcome of corrective vascular surgeries for both the arteriogenic and venogenic impotence is not so promising so far. The ultrastructural changes of the corporeal smooth muscle cells in 21 arteriogenic, 3 venogenic and 11 diabetogenic impotent men together with 8 psychogenic impotent patients as a control group were compared each other to investigate the pathogenesis of the erectile dysfunction on morphologic basis and validity of the corrective vascular surgery for the vasculogenic impotence. The results were as follows 1. In the psychogenic impotence, the smooth muscle cells showed well preserved contractile filament and dense body. either evenly distributed or conglomated glycogen without thickening of the basal lamina. 2. In the arteriogenic impotence, nearly half of the cases we examined smooth muscle cells showed degenerative changes with thickening of the basal lamina in part, and showed a paucity or the dense bodies and contractile filaments, decreased glycogen comparing to the smooth muscle cells of the psychogenic impotence. 3. In the venogenic impotence, the smooth muscle cells showed marked atrophy and disorganization in addition the thickening of basal lamina. 4. Also in the diabetogenic impotence, the smooth muscle cells showed similar changes to those of the arteriogenic impotence and particularly the basal lamina was more remarkably thickened. It is concluded that the degenerative and fibrotic changes could be a primary. or secondary cause of the venogenic, arteriogenic and diabetogenic impotence, and therefore biopsy of the corpora may be considered to select proper patients before the corrective vascular surgeries and to enhance their success rates.
Atrophy ; Basement Membrane ; Biopsy ; Erectile Dysfunction* ; Female ; Glycogen ; Humans ; Impotence, Vasculogenic ; Male ; Muscle, Smooth* ; Myocytes, Smooth Muscle* ; Relaxation

Cavernosography after injection of papaverine was done in 25 impotent patients who showed equivocal evidence for either psychogenic or organic erectile dysfunction and who were strongly suspicious of having vasculogenic impotence. Diagnostic value of the pharmacocavernosography was evaluated. Venous leakages through deep dorsal vein were noted in 13 patients, out of whom 3 patients showed leakage also via deep vein, abnormal cavernosal vein or cavernoso-glans fistula. All the arteriogenic and psychogenic, but 38.5% of the venogenic impotents, showed full erection at 30 seconds after infusion of contrast medium was begun. The response to injection of the papaverine was well correlated with findings of the cavernosogram in venogenic and psychogenic impotents. Therefore, the pharmacocavernosography is valuable in differential diagnosis of the venogenic and arteriogenic impotence as well as in diagnosis of the vasculogenic impotence.
Diagnosis ; Diagnosis, Differential ; Erectile Dysfunction* ; Female ; Fistula ; Humans ; Impotence, Vasculogenic ; Male ; Papaverine ; Veins

No abstract available.

Blood samples were taken for gases study (Po2, Pco2, pH, O2 saturation), simultaneously from corpus cavernosum, antecubital vein and femoral artery of 15 psychogenic impotent patients and 32 arteriogenic impotent patients 10 minutes after intracorporeal papaverine injection for artificial erection. The results were as follows: 1. In arteriogenic impotence, Po2, Pco2, O2 saturation of the corporeal blood were not significantly different from those of the femoral arterial blood but significantly different from those of the antecubital venous blood. 2. In psychogenic impotence, Po2, Pco2, O2 saturation of the corporeal blood were not significantly different from those of the femoral arterial blood but significantly different from those of the antecubital venous blood. 3. Po2, Pco2, O2 saturation of the femoral arterial, antecubital venous and corporeal blood in the arteriogenic impotence were not significantly different from those in the psychogenic impotence. Therefore, PO2, Pco2, O2 saturation of the corporeal blood during erection state are the picture of the arterial blood and not significantly different between the arteriogenic and psychogenic impotence.
Blood Gas Analysis ; Erectile Dysfunction ; Female ; Femoral Artery ; Gases* ; Humans ; Hydrogen-Ion Concentration ; Impotence, Vasculogenic* ; Male ; Papaverine ; Veins