No abstract available.
Female ; Ovary* ; Teratoma*

The reports of all amniocentesis samples received in our cytogenetic laboratory from 1986 to 1998 were reviewed to identify cases in which culture failure of amniocytes occurred. Medical records were then reviewed for the prenatal ultrasonographic findings, karyotype when available, and clinical outcome. We investigated the clinical aspects associated with second trimester amniotic fluid cell culture failure. During the study period, 5,325 second trimester amniotic fluid samples were processed, of which 42(0.8%) failed to yield a result. Ninety-seven percent of the samples were obtained before 24 weeks' gestation, mainly because of advanced maternal age. Three percent of the samples were obtained after 24 weeks' gestation. Culture failure was more common in samples obtained after or at 24 weeks' gestation(11.8%) than in those obtained before 24 weeks(0.44%)(p<0.05, chi-square test). This difference was also observed when the results were analysed according to the cases with known normal or abnormal karyotypes, The frequency of culture failure did not differ significantly between the groups with normal and abnormal karyotypes. We conduded that amniotic fluid cell culture failure is more common in advanced pregnancy and is not associated with a higher incidence of chromosomal abnormalities.
Abnormal Karyotype ; Amniocentesis ; Amniotic Fluid ; Cell Culture Techniques* ; Chromosome Aberrations ; Cytogenetics ; Female ; Humans ; Incidence ; Karyotype ; Maternal Age ; Medical Records ; Pregnancy ; Pregnancy Trimester, Second

This study was carried out to compare the difference between assist(A) and controlled(C) ventilation group's blood gases during the general anesthesia. All samples were taken from the radial artery. The results were as follows, 1) Pa CO2was increased to 43. 9 5torr+/-7. 85 in group A and decreased to 28. 65 torr+/-6. 05 in group C. (p(0. 005) 2) Acidemia(7.335+/-0.51) in group A and alkalemia(7. 481+/-0.07) in group C were noticed. (p(0. 005) 3) B.E. and bicarbonate levels were within normal range in both groups. It's necessary to choose the patterns of ventilation before anesthesia, because of the anesthesiologist were apt to give alveolar hyperventilation during the controlled ventilation manually, but mild respiratory acidosis were developed during the assist ventilation.
Acidosis, Respiratory ; Anesthesia ; Anesthesia, General ; Blood Gas Analysis* ; Gases ; Hyperventilation ; Radial Artery ; Reference Values ; Ventilation

No abstract available.
Diabetes Mellitus* ; Tuberculosis*

No abstract available.
Respiratory Syncytial Virus Infections* ; Respiratory Syncytial Viruses*

No abstract available.
Hydrocephalus*

PURPOSE: Adrenal tumor is relatively rare disease. But according to the development of diagnostic tools, their incidence is rising. Therefore, new concept of surgical treatment for adrenal tumor should be established. METHODS: We analysed medical records for 41 cases of adrenal tumor patients who was performed adrenalectomy at Samsung Medical Center from Sep. 1994 to Apr. 1997. RESULTS: 39 cases were adenoma and 2 were adenocarcinoma. 24 cases were functioning tumors. Of these, 4 were Cushing's syndrome, 12 were pheochromocytoma and 8 were primary aldosteronism. Mean age for the patients was 45.6 years old. Among various diagnostic tools, abdominal CT scan was particularly helpful for diagnosis and localization. 2 cases of pheochromocytoma were MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. CONCLUSION: 2 cases of 12 pheochromocytoma were proven to MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. Considering improvement of surgical technique, such as laparoscopic adrenalectomy, we could consider more aggressive treatment for adrenal tumors.
Adenocarcinoma ; Adenoma ; Adrenalectomy ; Cushing Syndrome ; Diagnosis ; Humans ; Hyperaldosteronism ; Incidence ; Medical Records ; Multiple Endocrine Neoplasia Type 2a ; Pheochromocytoma ; Rare Diseases ; Tomography, X-Ray Computed

BACKGROUND: Adrenal tumor is relatively rare disease. But according to the development of diagnostic tools, their incidence is rising. Therefore, new concept of surgical treatment for adrenal tumor should be established. METHODS: We analysed medical records for 41 cases of adrenal tumor patients who was performed adrenalectomy at Samsung Medical Center from Sep. 1994 to Apr. 1997. RESULTS: 39 cases were adenoma and 2 were adenocarcinoma. 24 cases were functioning tumors. Of these, 4 were Cushing's syndrome, 12 were pheochromocytoma and 8 were primary aldosteronism. Mean age for the patients was 45.6 years old. Among various diagnostic tools, abdominal CT scan was particularly helpful for diagnosis and localization. 2 cases of pheochromocytoma were MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. CONCLUSION: 2 cases of 12 pheochromocytoma were proven to MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. Considering improvement of surgical technique, such as laparoscopic adrenalectomy, we could consider more aggressive treatment for adrenal tumors.
Adenocarcinoma ; Adenoma ; Adrenalectomy ; Cushing Syndrome ; Diagnosis ; Humans ; Hyperaldosteronism ; Incidence ; Medical Records ; Multiple Endocrine Neoplasia Type 2a ; Pheochromocytoma ; Rare Diseases ; Tomography, X-Ray Computed

The purpose of this study were to : a) evaluate the nutrition status of one hundred and forty five recipients and one hundred and forty nine non-recipients of home-delivered meals service program, b) examine the teeth status of recipients of the program, c)analyze the nutritional values of meals, and identify the attitudes of recipients and non-recipients were found. Four meals offered by Nambu seniors center were met the recommended dietary allowances in calorie, protein, and vitamin C. The mean score of meal satisfaction was 3.7 out of five-point scale.
Aged* ; Ascorbic Acid ; Humans ; Meals* ; Nutritional Status ; Nutritive Value ; Recommended Dietary Allowances ; Tooth

SNP given by intravenous drip has been used to control hypertensive crisis since 1929. Its rapid action makes it suitable for controlled hypotension during general anesthesia. Experience of its use in three cases is described, which undergoing surgery for A-com aneurysm. The results are as follows: 1) The fall in MAP produced by the SNP was directly proportional to the doses of the infusion. (P<0. 01). 2) Increased doses of the SNP caused further rise in pulse rate, but not occurred tachycardia. (P<0.05). 3) The CVP by the SNP decreased consistantly. (P<0.05). 4) When SNP 4ug/kg/min was administered, 2 cases of respiratory acidoses and one case of mild metabolic acidosis were noticed. 5) No CN toxicity was seen, and recovery to normal level of blood pressure was noticed.
Acidosis ; Acidosis, Respiratory ; Anesthesia* ; Anesthesia, General ; Aneurysm ; Blood Pressure ; Heart Rate ; Hypotension, Controlled* ; Infusions, Intravenous ; Nitroprusside* ; Sodium* ; Tachycardia