No abstract available.
Tuberculosis, Pulmonary*

No abstract available.
Hip*

No abstract available.
Humerus*

Polyarteritis nodosa is one of the necrotizing vasculitis inv'olving small and medium sized arteries. Polyarteritis nodosa may affect many organs such as kidney, musculoskeletal system, gastrointestinal tract, skin, heart, and nerve. In Cupps and Fauci's autopsy studies, muscle involvement was found in 39% of the patients with polyarteritis nodosa. Commonly Polyarteritis nodosa may be presented clinically by myalgia. We experienced a case of polyarteritis nodosa presenting as myositis, diagnosed by muscle biopsy and renal angiography, which appear with unusual presentation of joint contracture in lt elbow and muscle crarnping pain rather than cornmonly presented myalgla.
Angiography ; Arteries ; Autopsy ; Biopsy ; Contracture ; Elbow ; Gastrointestinal Tract ; Heart ; Humans ; Joints ; Kidney ; Musculoskeletal System ; Myalgia ; Myositis* ; Polyarteritis Nodosa* ; Skin ; Vasculitis

The authors studied the diagnostic usefulness of the Topographic analysis of EEG, using Topography ststem 700 (San-ei), in evaluation of supratentorial focal cerebral lesions of 27 patients with various etiology, comparing with visual anslysis of EEG. Focal cerebral lesions, which were proven with brain C-T, were 11 cases of cerebral infarction, 6 of intracranial hematoma, 6 of cerebral gliolysis and 4 of others. The topography system displays the spatial distribution of activity in the classic delta, theta, alpha and beta frequency and computed mapping of EEG displays equipotential maps of square of roots of power spectra over each frequency band. For visual analysis of slow waves and background activity changes, Mayo classification system of EEG abnormality was used and for visual evaluation of topographic display, above system was also applied with some modification in order to compare with the data of visual analysis of conventional EEG. The results of the study were as follows; 1. While visual analysis of conventional anlysis of EEGs showed abnormality only in 13 cases (48.1%) of 27, topographic analysis showed abnormality in 22 cases (81.5%). Topographic analysis was more sensitive than than visual analysis of the EEG and topographic analysis was thought to be more sensitive in assessment of local slow waves as well as minor changes, especially slight asymmetry, of background EEG activity. 2. Topographic analysis showed higher concor dance rate (55.6%) to the brain C-T finding in lateralization of supratentorial focal cerbral lesion than that (44.4%) of visual analysis of the conventional EEG.
Bisoprolol ; Brain ; Cerebral Infarction ; Classification ; Electroencephalography* ; Hematoma ; Humans

No Abstract Available.
Humans ; Kidney Failure, Chronic* ; Rupture* ; Tendons*

OBJETIVE: To assess the effects of progesterone and acetyl-L-carnitine used after treated with IsolateR gradient before semen cryopreservation-thawing on sperm parameters and membrane integrity. MATERIALS AND METHODS: From April 2001 to July 2001, ten normal male partner of couples who were visited in vitro fertilization (IVF) clinics. the semens were treated with IsolateR gradient before cryopreservation, spermatozoa was incubated with progesterone (1, 5 and 10 micrometer), acetyl-L-carnitine (2.5, 5 and 10 micrometer), or both (progesterone, 1 micrometer; and acetyl-L-carnitine, 5 micrometer) for 30 min. RESULTS: There were no differences in sperm parameters and vital stain among isolate only treated group, progesterone (1, 5 and 10 micrometer), acetyl-L-carnitine (2.5, 5 and 10 micrometer) and both (progesterone, 1 micrometer; and acetyl-L-carnitine, 5 micrometer). But, in high concentration of acetyl-L-carnitine (10 micrometer) treated group, sperm parameters and vital stain were decreased. The statistical method was used ANOVA (Kruskal-Wallis test) and p value was <0.01. CONCLUSIONS: Neither progesterone nor acetyl-L-carnitine show to be protective effect on the cryodamage assessed by sperm parameters and vital stain (eosin-Y stain) in normal sperm. High concentration of acetyl-L-carnitine (10 micrometer), however, was harmful effect on cryoprevention.
Acetylcarnitine* ; Cryopreservation ; Family Characteristics ; Fertilization in Vitro ; Humans ; Male ; Membranes* ; Progesterone ; Semen ; Spermatozoa*

PURPOSE: To report a case of severe conjunctival necrosis associated with scleral melting following subconjunctival atropine depot injection in treating posterior synechiae associated with uveitis. METHODS: A 31-year-old male patient visited our clinic after subconjunctival injection of 1% atropine, 0.4 ml, in treating circular posterior synechiae associated with uveitis in his left eye. The marked conjunctival injection and chemosis around the limbus were noted. Three days after first visit to our clinic, remarkable necrosis had developed around the whole limbus, and newly developed whitish necrotic tissue was noted over sclera and episclera. We debrided the necrotic conjunctiva and episclera, and the exposed sclera was grafted with amniotic membrane. REUSLTS: After 4 weeks, the complete re-epithelization of necrotized defect was shown and there were no evidence of inflammation, symblepharon, or scleral melting. CONCLUSIONS: In usage of atropine, especially to eyes locally, subconjunctival injection should be avoided due to direct toxicity to the conjunctiva and sclera to form necrosis and melting. The damaged lesions of conjunctiva and sclera due to usage of this drug generally cause chronic inflammation and persistent surface defect. In order to restore and re-epithelize the necrotic defect, more aggressive treatment such as an amniotic membrane transplantation would be needed.
Adult ; Amnion ; Atropine* ; Conjunctiva ; Freezing ; Humans ; Inflammation ; Male ; Necrosis ; Sclera ; Transplants ; Ulcer* ; Uveitis

PURPOSE: The purpose of this study is to investigate the postoperative high order aberration after LASEK and to evaluate the effects of LASEK on high order aberration using larger and blend zone ablation. METHODS: Twenty patients out of 28 patients who received treatment were followed up for 3 months. In each case, one eye received conventional ablation LASEK and the other eye received larger and blend zone ablation LASEK. Preoperative and postoperative RMS (root mean square) of Bille aberration maps measurements were made with WaveScan Wavefront(TM) system (VISX, Santa Clara, U.S.A.). RESULTS: RMS of Bille aberration maps at post operation 1 month and post operation 3 months displayed a statistically significant increase compared with preoperative value. (p<0.05) In post operation 3 month, larger and blend zone ablation LASEK treated eyes displayed a statistically significant lower post operative RMS compared to those of conventional ablation LASEK.(p<0.05) CONCLUSIONS: High order aberrations at post operation 1 month and post operation 3 months increased compared with preoperative value. High order aberration after LASEK with larger and blend zone ablation are less pronounced compared to those associated with conventional ablation LASEK. By using larger and blend zone ablation it is possible to minimize the high order aberration of the eye and improve visual results for patients undergoing LASEK.
Humans ; Keratectomy, Subepithelial, Laser-Assisted

PURPOSE: To compare corneal sensitivity and recovery of corneal innervations after a temporal clear corneal incision in cataract surgery. METHODS: We measured changes to corneal sensitivity using Cochet-Bonnet esthesiometer in 25 eyes of 20 patients and analyzed corneal nerve density with confocal microscopy in 20 eyes of 20 patients who had undergone cataract surgery. The parameters were measured before, and at 1 week, 1 month, and 3 months after cataract surgery. RESULTS: The mean preoperative corneal sensitivity was 56.40+/-3.39 mm at the temporal corneal incision site, and there was a significantly decreased sensitivity of 29.80+/-2.69 mm and 42.40+/-4.36 mm postoperatively at 1 week and 1 month, respectively. Nonetheless, by three months, corneal sensitivity had returned to 56.00+/-2.89 mm and was not significantly different from measurements prior to the cataract surgery. The mean preoperative subbasal nerve density was 5296+/-1642 micrometer/mm2. After cataract surgery, the subbasal nerve density was significantly reduced to 4113+/-1421, 3555+/-1448, 4198+/-1239 micrometer/mm2 at 1 week, 1 month, and 3 months, respectively. CONCLUSIONS: Corneal sensitivity after cataract surgery returned to near preoperative levels within 3 months before complete restoration of normal corneal innervations. Therefore, regeneration of subbasal nerve fibers (, as determined by confocal microscopy,) requires more time than the return of corneal sensation after cataract surgery.
Cataract* ; Humans ; Microscopy, Confocal ; Nerve Fibers ; Regeneration ; Sensation