From August 1992 to July 1996, 63 consecutive patients underwent coronary artery bypass surgery. The mean age of these patient was 57 years(range form 30 to 71years). There were 44 men and 19 women. Preoperative 12 patients had stable angina pectoris and 23 patients were unstable angina pectoris. 8 patients had previous myocardial infarctation history and emergency or urgent myocardial revascularization were performed in 9 cases. In the risk factors of coronary atherosclerosis, 25 patients(40%) were hypercholesterolemia, 38 patients(60%) have smoking history and 19 patients(30%) have hypertension history. In the patterns of disease, 9 patients were single vessel disease, 18 patients were two vessele disease and 33 patients were three vessel dise 3se. We performed total 284 distal anastomosis(mean 3.5 anastomosis per patient) and performed one case of ascending aorta graft interposition, two cases of mitral valve replacement, one case of aortic valve replacement, one case of ventricular septal defect repair and one case of atrial septal defect repair and the mean aortic cross clamp time was 115.3 minutes. The common complications were arrhythmia(7cases), wound infection(5cases), perioperative myocardial infarction(4cases), reoperation for bleeding control(4cases) and stroke(4cases). There were six hospital deaths due to low cardiac output syndrome, ventricular arrhythmia and respiratory failure. In the evaluation of operative risk factors, preoperative intravenous nitroglycerin requirement and prolonged aortic cross clamp time(>2hours) were found to be predective factor of morbidity and old age(>65years) was
Angina, Stable ; Angina, Unstable ; Aorta ; Aortic Valve ; Arrhythmias, Cardiac ; Cardiac Output, Low ; Coronary Artery Bypass* ; Coronary Artery Disease ; Coronary Vessels* ; Emergencies ; Female ; Heart Septal Defects, Atrial ; Heart Septal Defects, Ventricular ; Hemorrhage ; Humans ; Hypercholesterolemia ; Hypertension ; Male ; Mitral Valve ; Myocardial Infarction ; Myocardial Revascularization ; Nitroglycerin ; Reoperation ; Respiratory Insufficiency ; Risk Factors ; Smoke ; Smoking ; Transplants ; Wounds and Injuries

BACKGROUND: There has been little research done on the factors associated with snoring among adults in Korea. METHODS: Subjects for this cross-sectional study were 1940 adults aged 20 to 80 years who had visited the health promotion center at one university hospital in Chungcheongnam-do for general health check-ups. Standard interviews, anthropometrics, and biochemical studies were conducted. Habitual snoring was defined as snoring more than 4 days per week. Multiple logistic regression analysis was used to evaluate the associations between habitual snoring and age, sex, smoking, alcohol consumption, body mass index (BMI), waist circumference, hypertension, diabetes mellitus and dyslipidemia. RESULTS: The prevalence of habitual snoring was 13.9%. The proportion of problem drinkers, current smokers, BMI equal to or greater than 25 kg/m2, abdominal obesity, hypertension, diabetes mellitus, hypercholesterolemia, hypertriglyceridemia and low HDL-cholesterolemia increased significantly with increasing frequency in snoring (P<0.05). Multiple logistic regression analysis revealed that habitual snoring was independently associated with the 50-59 years age group, male, current smokers, abdominal obesity, hypertension and low HDL-cholesterolemia (P<0.05). CONCLUSIONS: These findings show that habitual snorers are at increased risk for individual risk factors associated with cardiovascular diseases. Prospective studies are needed to further examine the causal relationship between habitual snoring and cardiovascular diseases.
Adult ; Aged ; Alcohol Drinking ; Body Mass Index ; Cardiovascular Diseases ; Cross-Sectional Studies ; Diabetes Mellitus ; Health Promotion ; Humans ; Hypercholesterolemia ; Hypertension ; Hypertriglyceridemia ; Logistic Models ; Male ; Obesity, Abdominal ; Prevalence ; Risk Factors ; Smoke ; Smoking ; Snoring ; Waist Circumference

No abstract available.
Condoms* ; Humans ; Intention* ; Sex Education*

With aging, several progressive changes occur on the midface including descent of attenuated lower eyelid skin which creates a skeleton-like appearance with infraorbital hollowness, and descent of the malar fat pad with exaggeration of the nasolabial fold. Most of the procedures for midfacial rejuvenation require extensive peripheral-to-central dissection in the subcutaneous, sub-SMAS or subperiosteal plane. The author's procedure entails direct access to the midface through a subciliary incision, elevation of the orbicularis oculi muscle and ptotic malar soft tissue. It has been performed through subcutaneous dissection on 67 patient and subperiosteal dissection on 4 patients. Subcutaneous dissection on the midface was made laterally to the zygomaticus maior, medially to the levator labii superioris under the oricularis muscle and inferiorly beyond the nasolabial fold. The range of subperiosteal dissection was similar to subcutaneous dissection, except on the dissection plane. Suspension sutures made at the malar retaining ligament and infero-lateral portion of the orbicularis oculi were fixed to periosteum of the lateral canthal area. In some patients, this procedure was combined with forehead lift(4), temporal lift(2), upper blepharoplasty(28), cervicoplasty(2), and lateral canthoplasty(12). In 23 patients who had a particularly prominent tear trough, a fat sliding technique was combined. The author has followed up 62 patients from a minimum 2 months to a maximum 27 months. Complications included urdercorrection(3), longstanding malar fullness(2), ectropion(1), transient numbness(2), and cheek dimpling(1). In conclusion, this centrofacial can be applied to patients who have limited ptosis of the midface with mild nasolabial fold.
Adipose Tissue ; Aging ; Cheek ; Eyelids ; Forehead ; Humans ; Ligaments ; Nasolabial Fold ; Periosteum ; Rejuvenation ; Skin ; Sutures

A teratoma is a germ-cell tumor composed of tissue components representing derivatives of three germ layers. A teratoma in the region of adrenal gland is a rare retroperitoneal tumor. We now report a case of a primary adrenal teratoma. A 38-year-old woman presented with an incidentally detected adrenal mass. The computed tomography scan revealed a 9x8x7.5 cm fat density mass with calcification in the left adrenal gland. The surgically resected tumor was round and well circumscribed and the adrenal gland was present at the periphery of the tumor. The cut surface contained fat tissue and a hair containing cyst. Microscopically, the tumor consisted of adipose tissue, hair, skin appendage, nerve, muscle bundle and bone.
Adipose Tissue ; Adrenal Glands ; Adult ; Female ; Germ Layers ; Hair ; Humans ; Muscles ; Retroperitoneal Space ; Skin ; Teratoma

A teratoma is a germ-cell tumor composed of tissue components representing derivatives of three germ layers. A teratoma in the region of adrenal gland is a rare retroperitoneal tumor. We now report a case of a primary adrenal teratoma. A 38-year-old woman presented with an incidentally detected adrenal mass. The computed tomography scan revealed a 9x8x7.5 cm fat density mass with calcification in the left adrenal gland. The surgically resected tumor was round and well circumscribed and the adrenal gland was present at the periphery of the tumor. The cut surface contained fat tissue and a hair containing cyst. Microscopically, the tumor consisted of adipose tissue, hair, skin appendage, nerve, muscle bundle and bone.
Adipose Tissue ; Adrenal Glands ; Adult ; Female ; Germ Layers ; Hair ; Humans ; Muscles ; Retroperitoneal Space ; Skin ; Teratoma

BACKGROUND AND OBJECTIVES: Idiopathic restrictive cardiomyopathy is a very rare and poorly recognized disease in children. This study is performed to describe the clinical course and to define potential predictors of outcome. MATERIAL AND METHOD: We reviewed the medical records and diagnostic studies of 11 consecutive patients during the period from Jan.1991 to Aug. 2000. RESULTS: The age at diagnosis was 1.2-13 years (median 7 years) and the duration of follow up was 3-90 months (median 3.6 years). All except one were symptomatic (dyspnea in ten, chest pain in four). The chest pain was associated with significant ST depression on both resting and exercise ECG, suggesting myocardial ischemia. Two had complete heart block as either initial or terminal event. Cardiac catheterization was done in nine ( mean pulmonary arterial wedge pressure 23+/-6mmHg, systolic pulmonary arterial pressure 47+/-14mmHg, mean right atrial pressure 11+/-9mmHg). Echocardiographic dimensional ratio of left atrium and aorta (LA/Ao) was 2.41+/-0.58. Mitral E/A inflow ratio was 2.72+/-1.42, E wave deceleration time was 93.6+/-44.2ms. During follow up, six died. The 2 year and 5 year cumulative survival rates were 54.5% and 18.8% respectively. The predictor for nonsurvivor were pulmonary venous congestion and LA/Ao >2.5(p<0.05). Verapamil was tried in 6 cases without favorable effect in all. CONCLUSION: Considerable numbers of restrictive cardiomyopathy have myocardial ischemia associated with ST depression and chest pain. The patients with pulmonary venous congestion and severe left atrial enlargement (LA/Ao>2.5) were at risk for death, requiring prompt definitive treatment such as cardiac transplantation.
Aorta ; Arterial Pressure ; Atrial Pressure ; Cardiac Catheterization ; Cardiac Catheters ; Cardiomyopathy, Restrictive* ; Chest Pain ; Child* ; Deceleration ; Depression ; Diagnosis ; Echocardiography ; Electrocardiography ; Follow-Up Studies ; Heart Atria ; Heart Block ; Heart Transplantation ; Humans ; Hyperemia ; Medical Records ; Myocardial Ischemia ; Pulmonary Wedge Pressure ; Survival Rate ; Verapamil

No abstract available.
Hair ; Scalp

No abstract available.
Hemangioma*

BACKGROUND: This study researched the relationship between shift work and one of its relevant health problems, functional gastrointestinal disorders. The study targeted nurses working at a university hospital, and compared the differences in gastrointestinal disorders of shift workers and non-shift workers and identified causes that significantly influence these symptoms. METHODS: In August 2013, a self-report survey was conducted on nurses working at a university hospital. Among those sent out, 1,201 responded and 851 were used for the final analysis. RESULTS: It was shown that the frequency of gastrointestinal disorders in shift workers was 1.881 times higher than that of non-shift workers. Factors that influenced gastrointestinal disorders included age, marital status, work duration, type of employment, job satisfaction, and perceived health status. Gastrointestinal disorders were seen more often with older age, being married, longer duration of employment, non-regular worker, low job satisfaction, bad perceived health status, and shift works. CONCLUSIONS: To prevent gastrointestinal disorders in nurses who work shifts, a health checkup system should be in place for clinical nurses who are of older age and have longer employment records. To decrease the causes of gastrointestinal disorders, campaigns suggesting regular diet and quitting alcohol use should be held consistently. Also, a category related to gastrointestinal disorders should be added to the employee health checkup for nurses with long work experience.
Diet ; Employment ; Gastrointestinal Diseases ; Job Satisfaction ; Marital Status ; Occupational Health