A clinical observation was made on the bladder tumor of the in-patients in the Department of Urology, Sacred Heart Hospital during the period of 6 years from June, l968 to May. 1974 0f 1,258 of total admitted cases, 69 cases had bladder tumor giving a rate of 5.5% The results were as follows: 1. The sex ratio was 5.9: 1 with male 59 and female 10. 2. The highest incidence of age distribution was between 40 and 69 year with 76.8%. 3. Hematuria which occurred in those cases in 91.3% is the most common symptom. The other common manifestations were frequent, dysuria and painful urination as in order. 4. 37 cases or 53.6% of patients visited to our clinic within one year after initial symptom occurred. 5. 47.8% of the cases involved in the lateral wall, 20.3% in the trigone and 11.6% in the entire wall as in order. 6. Among 69 cases, pathologic diagnosis was as follows. Transitional cell carcinoma 66 cases and benign papilloma 1. 7. The method of treatment, T.U.R. was performed 25 cases, partial cystectomy 19, ureterocut aneoetomy 8. Bricker's operation 5 and Gil.Vernet operation 1 respectively after total cystectomy. and no treatment 11. 8. 15 cases or 25.9% bad follow-up studies every 3 or 6 months. 5 cases were tumor free and IO cases had recurred.
Age Distribution ; Carcinoma, Transitional Cell ; Cystectomy ; Diagnosis ; Dysuria ; Female ; Follow-Up Studies ; Heart ; Hematuria ; Humans ; Incidence ; Male ; Papilloma ; Sex Ratio ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urination ; Urology

This report summarizes the authors' experiences in 119 dialysis on 12 patients of chronic renal failure treated at Sacred Heart Hospital from Jan. 1, 1973 through May 14, 1974 using Kill type artificial kidney. The average effect of 119 hemodialysis in correcting abnormal blood levels of B.U.N., creatinine, potassium and changes of body weight are as follows; Blood urea nitrogen 115.2mg% -> 70.6mg%, Serum creatinine 9.7 mg% -> 7.5mg% Serum potassium 5.2 mEq/L -> 3.8mEq/L, Body weight 55.1kg -> 52.9kg
Blood Urea Nitrogen ; Body Weight ; Creatinine ; Dialysis ; Heart ; Humans ; Kidney Failure, Chronic ; Kidneys, Artificial* ; Potassium ; Renal Dialysis*

This report summarizes the authors' experiences in 119 dialysis on 12 patients of chronic renal failure treated at Sacred Heart Hospital from Jan. 1, 1973 through May 14, 1974 using Kill type artificial kidney. The average effect of 119 hemodialysis in correcting abnormal blood levels of B.U.N., creatinine, potassium and changes of body weight are as follows; Blood urea nitrogen 115.2mg% -> 70.6mg%, Serum creatinine 9.7 mg% -> 7.5mg% Serum potassium 5.2 mEq/L -> 3.8mEq/L, Body weight 55.1kg -> 52.9kg
Blood Urea Nitrogen ; Body Weight ; Creatinine ; Dialysis ; Heart ; Humans ; Kidney Failure, Chronic ; Kidneys, Artificial* ; Potassium ; Renal Dialysis*

A 43-year-old woman who had had an invasive mole 5 years previously required emergent pulmonary embolectomy under cardiopulmonary bypass. Curative resection was impossible because the tumor invaded the right main pulmonary artery and left lower pulmonary artery. The pathologic diagnosis made by the tumor emboli specimens was choriocarcinoma. The patient received post-operative chemotherapy over a 6-month period and had complete remission. Although rare, choriocarcinoma should be considered in the differential diagnosis of fertile women presented with pulmonary embolism.
Adult ; Cardiopulmonary Bypass ; Choriocarcinoma* ; Diagnosis ; Diagnosis, Differential ; Drug Therapy ; Embolectomy* ; Emergencies* ; Female ; Humans ; Hydatidiform Mole, Invasive ; Pregnancy ; Pulmonary Artery* ; Pulmonary Embolism

Although it has been known that seminal plasma (SP) modulates immune responses, the morphologic and functional effects of SP on mast cells have not been well documented. The purpose of this study was to determine the morphologic and functional effects of SP from the azoospermic (ASP), oligozoospermic (OSP) and normozoospermic (NSP) men on rat peritoneal mast cells (RPMC). By inverted microscopy, degranulation of RPMC occurred by treatment of OSP, NSP or compound 48/80. Treatment of RPMC with OSP and NSP resulted in increase in size and decrease in surface folds and bulged granules from the cell surface indicating that degranulating processes took place. Irregular cell surface with few microvilli and large degranulation channels filled with altered granules of various sizes were observed in OSP or NSP-treated RMPC. The degranulation index (DI) of RPMC treated with HBSS was 8.8+/-5.0. SP-induced DI was 11.9+/-6.2, 57.1+/-16.9 and 61.9+/-15.8, in ASP, OSP and NSP, respectively. The DI of RPMC treated with compound 48/80 (1 microgram/ml) was 83.5+/-21.4. These results indicated that the OSP, NSP but not ASP, induced the degranulation of RPMC. OSP and NSP induced histamine release (HR) from RPMC (4.5x105 cells). The HR of RPMC treated with HBSS was 1,030+/-196.6ng/ml, whereas ASP, OSP and NSP-induced HR was 1,010+/-204.7, 2,794+/-453.3 and 2,899 +/-366.7 ng/ml, respectively. The HR of RPMC treated with compound 48/80 was 6,300+/-476.2 ng/ml. Intracellular calcium level(ICL) of RPMC was also increased by OSP and NSP. The ICL of RPMC treated with HBSS was 6.1+/-1.0 pmole. ASP, OSP and NSP-induced ICL was 9.0+/-1.1, 81.2+/-18.5 and 76.6+/-18.0 pmole, respectively. The ICL of RPMC treated with compound 48/80 was 102.9+/-22.2 pmole. From the above results, it is suggested that OSP and NSP contain some factors to degranulate RPMC by the increase of intracellular calcium level.
Animals ; Calcium ; Histamine Release* ; Histamine* ; Humans ; Male ; Mast Cells* ; Microscopy ; Microvilli ; Rats* ; Semen* ; Viperidae

The anomalous origin of the right coronary artery (RCA) is a rare condition. Most RCA anomalies are usually found incidentally, but these findings have clinical significance because many patients, particularly young ones, present with sudden death, myocardial ischemia and syncope without other symptoms. We describe a case of a 39-year-old male patient that presented with effort chest pain and was diagnosed with anomalous RCA that originated from the ascending aorta with prior history of repairing ruptured sinus valsalva and ventricular septal defect. The anomalous origin of RCA was identified by multidetector computed tomography (MDCT). Successful percutaneous coronary intervention was performed guided by MDCT coronary images and intravascular ultrasound.
Adult ; Angioplasty ; Aorta ; Chest Pain ; Coronary Vessel Anomalies ; Coronary Vessels ; Death, Sudden ; Heart Septal Defects, Ventricular ; Humans ; Male ; Multidetector Computed Tomography ; Myocardial Ischemia ; Percutaneous Coronary Intervention ; Syncope

The accuracy and convenience of continuous glucose monitoring (CGM), which efficiently evaluates glycemic variability and hypoglycemia, are improving. There are two types of CGM: professional CGM and personal CGM. Personal CGM is subdivided into real-time CGM (rt-CGM) and intermittently scanned CGM (isCGM). CGM is being emphasized in both domestic and foreign diabetes management guidelines. Regardless of age or type of diabetes, CGM is useful for diabetic patients undergoing multiple insulin injection therapy or using an insulin pump. rt-CGM is recommended for all adults with type 1 diabetes (T1D), and can also be used in type 2 diabetes (T2D) treatments using multiple insulin injections. In some cases, short-term or intermittent use of CGM may be helpful for patients with T2D who use insulin therapy other than multiple insulin injections and/or oral hypoglycemic agents. CGM can help to achieve A1C targets in diabetes patients during pregnancy. CGM is a safe and cost-effective alternative to self-monitoring blood glucose in T1D and some T2D patients. CGM used in diabetes management works optimally with proper education, training, and follow up. To achieve the activation of CGM and its associated benefits, it is necessary to secure sufficient repetitive training and time for data analysis, management, and education. Various supports such as compensation, insurance coverage expansion, and reimbursement are required to increase the effectiveness of CGM while considering the scale of benefit recipients, policy priorities, and financial requirements.