The present study was designed to investigate if antithyroid antibodies (ATA) could affect the pregnancy outcome in euthyroid women undergoing in vitro fertilization and embryo transfer (IVF-ET). From October 1995 to September. 1996, 28 euthyroid women with ATA who underwent IVF-ET were studied. Fifty-one euthyroid women without ATA who underwent IVF-ET served as control. Thyroid peroxidase antibody (TPOA) and thyroglobulin antibody (TGA) were assayed using radio ligand assay kits as ATA. All patients included in study and control groups had only tubal factor in infertility. Long protocol of gonadotropin-releasing hormone agonist (GnRH-a) was used to. controlled ovarian hyperstimulation (COH) in all patients. There were no significant differences between study and control groups in patient characteristics such as age, infertility duration and hormonal profile. There were also no significant differences between two groups with respect to the clinical response to COH and IVF results such as number of retrieved oocytes, fertilization rate, number of embryos frozen and number of embryos transfered. There were no correlations between ATA (TPOA and TGA) titers and fertilization rate. The clinical pregnancy rate per cycle seemed to be lower in the study group than in the control group (26.3% vs 39.3%), but the difference was not statistically significant. The biochemical pregnancy rate per cycle and miscarriage rate were significantly higher in the study group at 18.4% (7/38) and 40.0% (4/10) compared with 5.6% (5/89) and 11.4% (4/35) in the control group. In the study group, both TPOA and TGA titers were significantly higher in the biochemical pregnancy group than in the clinical pregnancy group or non-pregnancy group. In 10 women with ATA who achieved pregnancy following IVF-ET, both TPOA and TGA titers were significantly higher in the miscarriage group than in the ongoing or delivery group. In conclusion, euthyroid women with ATA appear to represent a less favorable subset within other tubal factor patients when treated with IVF-ET.
Abortion, Spontaneous ; Antibodies* ; Embryo Transfer ; Embryonic Structures ; Female ; Fertilization ; Fertilization in Vitro ; Gonadotropin-Releasing Hormone ; Humans ; Infertility ; Iodide Peroxidase ; Oocytes ; Pregnancy ; Pregnancy Outcome ; Pregnancy Rate ; Thyroglobulin

Studies of the water analysis of the breeding place of the first intermediate host(Semisulcospira libertina) was carried out. The breeding place of Semisulcospira libertina in the Haenam area were found mainly in pebbly and sandy riverbed of the upper stream and halfway up the Donghae river, but we could not find the habitats of Semisulcospira libertina in the spring, paddyfield and tidal part of flow in which the content of Cl ion, Ca ion, total alkalinity, total hardness and pH were obviously higher than those of the breeding place. The range of physical and chemical characters of the Semisulcospira libertina breeding water were as follows. 0.05-0.7 m/s of optimal flowing velocity of fresh water, 20-50 cm in depth, 7.12+/-0.17 of optimal pH range 19.4+/-4.92(mg/l)in total alkalinity, 9.4+/-2.97(mg/l) of Ca ion, 9.8+/-2.3(mg/l) of Cl ion content, 115.1+/-34.2(mg/l) of total hardness, but there were no remarkable differences between the habitat water and the contrasts in their specific gravities. In the comparison of analytical result of the breeding water at Haenam, the content of Ca ion, Cl ion, total alkalinity, total hardness and pH showed a gradually higher value in the lower reaches of the river than those of the upper stream and halfway up the river.
parasitology-snail-intermediate host ; Semisulcospira libertina ; breeding place

No abstract available.
Antibodies* ; Hepatitis Viruses* ; Hepatitis*

One case of retinal periarteritis, probably tuberculous in nature, is presented. The patient reported here is a male, aged 26, who developed retinal periarteritis associated with a large tuberculosis of retina in hes left eye. The arteries had the appearance of being covered with a series of white rings, and the peculiar changes were seen on the superior and inferior nasal artery, while the vein were not involved.
Arteries ; Humans ; Male ; Retina ; Retinaldehyde* ; Tuberculosis ; Veins

The authors investigated the microbial pathogens responsible for acute urinary tract infection and the antimicrobial susceptibility from 216 patients over 60 years old with benign prostatic hyperplasia from 1/1999 to 6/2000 we have found: Staphylococcus spp (40.6%), E. coli (29%), Pseudomonas spp (19.7%), Enterococcus spp (7.5%), Proteus spp (1.7%), Klebsiella spp (1.1%). Many bacteria were sensitive to imipenem. Often used antimicrobials were gentamycine, kanamycine, ciprofloxacine. Most bacteria were resistant to usual antimicrobial drugs. Most of the patients were from 70 to 80 years old (51.2%). The patients over 80 were at high risk of infection (90%).
Prostatic Neoplasms ; Urinary Tract Infections ; Fibroma ; Prostatic Diseases

Between January 2000 and July 2001, 34 patients underwent surgery for craniopharyngiomas at the Neurosurgical Department of Chî RÉy Hospital. The mean age of these patients (15 males, 19 females) was 20 years (from 3 to 45 years). Among 34 open surgical procedures, craniopharyngiomas were removed completely in 2 cases (2.9%), subtotally in 6 (17.6%), partially in 17 (50%) and biopsy was performed in 9 cases (26.5%).
Craniopharyngioma ; surgery

No abstract available.
Anesthesia* ; Ophthalmology*

The congenital lumbosacral anomalies include spondylolisthesis, sacralization, lumbarization, spina bifida and others, and it has been reprted in the relevant literature that low back pain does not necssary to be complicated with these congenial anomalies of lumbo-sacral region. The incidence of this congenital anomalies in this country seems to be as rare as that other literatures. 27 cases of congenital lumbosacral anomalies treated at the Department of Orthopedic Surgery National Medical Center through the year of 1958 to 1969 were analyzed and reported in this paper. 1 Out of 27 cases, eight cases were sacralization. five were lumbarization, 11 were spondylolisthesis and three were spondylolysis. 2. Nine were treated by operation anb 18 were treated without operation. Out of nine operations, six cases were operated by transversectomy, among them sacralization and lumbarization were three respectively, and three cases were operated by anterior lumbo-sacral fusion in spondylolithesis. 3. The result of the cases treated by operation was superior to the result of the cases treated without operation in this series. Eight cases out of nine had good results in the group of operation, while five cases out of 18 had good results in the group of without operation.
Incidence ; Low Back Pain ; Orthopedics ; Spinal Dysraphism ; Spondylolisthesis ; Spondylolysis

Based on a study of 140 caaes of spondyloses with chronic backache, the sites and types of spurs and underlying congenital anomalies were analized. The following results were obtained. The most common sites of spurs were expected to be between L5 & S1 but contrary to the expectation, these were found most commonly between L4 & L5 and between L3 & L4. The reason for the preponderance of the spurs between L4 & L5 and L3 & L4 were not immediately available. All spurs represent claw type except in 4 cases which resemble traction spurs of McNab but without segamental instability. There were 39 cases of congenital anomalies. 28 of them were of tropism. Thus we conclude that the most common congenital anomaly associated with spondylosis is tropism.
Animals ; Back Pain ; Hoof and Claw ; Spine ; Spondylosis ; Traction ; Tropism

The McCune-Albright Syndrome is characterized by polyostotic fibrous dysplasia, cafe-au-lait colored patches of the skin and endocrinological abnormalities, including precocious puberty. Affected patients progress from GnRH-independent puberty to GnRH-dependent puberty. GnRH analogues are ineffective in GnRH-independent precocious puberty. Three year and 2 month old girl with breast development(SMR B3) and irregular vaginal bleeding were seen & diagnosed as incomplete sexual precocity. Decapeptyl treatment was started for the purpose of regression of breast development & vaginal bleeding with no effect. After 10 months, cafe-au-lait skin lesion & polyostotic fibrous dysplasia were noted and diagnosed as McCune-Albright syndrome. Breast development regressed to SMR B2 and vaginal bleeding was controlled with ketoconazole. As our experience, ketoconazole treatment might be effective to delay the progression of sexual development in patients with precocious puberty in McCune-Albright Syndrome.
Adolescent ; Breast ; Female ; Fibrous Dysplasia, Polyostotic* ; Gonadotropin-Releasing Hormone ; Humans ; Infant ; Ketoconazole* ; Puberty ; Puberty, Precocious ; Sexual Development ; Skin ; Triptorelin Pamoate ; Uterine Hemorrhage