No abstract available.
Urinary Bladder Neoplasms* ; Urinary Bladder*

No abstract available.
Addison Disease*

We took clinical observation for low-birth-weight infant who had been delivered at Chosun University Hospital during the last 4 years from July, 1972 to June, 1976. The results obtained were as follows; 1) High incidence of low-birth-weight infant was found in group of gestational period, 31-33 weeks and birth weith, 1501~1750 gm . and those were 16 cases. 2) The incidence of low-birth weitht infant was 8.4% and there was no different distribution between male and female. 3) Incidence of low-birth-weight infant by maternal age was in order of the group of 26-30 years old, the group of 20-25 years old and the group of 31-35 years old and the incidence by parity was higher in multiparity than in primiparity. 4) Incidence of low-birthpweight infant by the type of delivery was in order of normal vaginal delivery, breech delivery and C-section delivery. 5) Etiology of low-birth-weight infant was in order of multiple pregnancy, toxemia, placenta previa and abruptio placenta, premature repture of membrane and congenital syphilis. 6) Mortality rate by weight-gestational age was lower in the group of apprepriate for gestational age infant than in the group of small for gestational age infant and in the group of large for gestatonal age infant. 7) Higher mortality rate was noted in the group of lower birth weight infant, the group of more shortened gestational period and the group of lower Apgar score. 8) Incidence of twin was 11.4% and death was noted only 1 case in male group. 9) In the respect of physiologic weight loss, an average maximal weight loss 9.3% of birth weitht and average maximal weight loss was appeared on 8th day after birth and the duration of returning to the birth weight was 13.5 days. 10) Average body measurements at birth were as follows: head circumference, 30.5cm, length, 43.9cm, and chest circumference, 27.7 cm and there was tendency of lower value of body measurements in the group of lower birth weight. 11) In the chest x-ray which was taken within 12 hours after normal finding was 98 cases (81.0%), hyaline membrane disease. 7(5.8%), atelectasis, 6(5.0%), congenital heart disease, 2(1.7%) and 1 case (0.8%) of pneumothorax. 12) In the peripheral blood cell count, there was higher value of Hb, RBC and Hct in the group of higher weight, but this proportional relationship was not found in WBC count.
Apgar Score ; Birth Weight ; Blood Cell Count ; Female ; Gestational Age ; Head ; Heart Defects, Congenital ; Humans ; Hyaline Membrane Disease ; Incidence ; Infant ; Infant, Low Birth Weight* ; Infant, Newborn ; Male ; Maternal Age ; Membranes ; Mortality ; Parity ; Parturition ; Placenta ; Placenta Previa ; Pneumothorax ; Pregnancy ; Pregnancy, Multiple ; Pulmonary Atelectasis ; Syphilis, Congenital ; Thorax ; Toxemia ; Weight Loss

BACKGROUND: The hemodynamic and metabolic effects of tourniquet application undergoing knee surgery with general anesthesia in elderly patients with hypertension have been rarely reported. We evaluated the hemodynamic and metabolic effects in elderly patients compared with young adults. METHODS: Thirty elderly patients (elderly hypertension group, 71.8 +/- 3.9 years) with chronic hypertension undergoing total knee replacement and 30 young adults (normal group, 33.1 +/- 5.1 years) undergoing knee surgery were studied. Mean arterial pressure (MAP), heart rate, cardiac index (CI) by esophageal doppler method, and systemic vascular resistance index (SVRI) were measured before, during, and after tourniquet application. pH, PaO2, PaCO2, Hb and lactate blood concentrations were also measured. RESULTS: MAP increased 25% and 16% in elderly hypertension and normal groups during inflation, respectively (P < 0.05) and returned to basal values after deflation. CI increased to 30% higher than basal values in both groups after deflation (P < 0.05). SVRI decreased 31% and 19% in elderly hypertension and normal groups after deflation, respectively (P < 0.05). After deflation, PaCO2 and lactate increased (P < 0.05). CONCLUSIONS: Elderly patients with hypertension have the significant hemodynamic changes during and after tourniquet application than before, however, there are no differences compared to normal group. These elderly patients should be needed the active hemodynamic monitoring due to the lower compensatory ability.
Aged* ; Anesthesia, General ; Arterial Pressure ; Arthroplasty, Replacement, Knee ; Heart Rate ; Hemodynamics* ; Humans ; Hydrogen-Ion Concentration ; Hypertension* ; Inflation, Economic ; Knee* ; Lactic Acid ; Tourniquets* ; Vascular Resistance ; Young Adult

Malignant mesothelioma occurs commonly in the peritonial cavity, pleural and pericardial cavity, also have been reconginzed in numerous other locations. However, it is rarely found in testis arised from tunica vaginalis. Aggressive surgery is necessary soon after diagnosis. Generally the prognosis is very poor and there is no consensus regarding treatment after surgery. We report a case of a 44 years old man with scrotal mass with recurrent pain for 2 years and pathologically diagnosed as a malignant mesothelioma in tunica vaginalis.
Adult ; Consensus ; Diagnosis ; Humans ; Mesothelioma* ; Pleural Cavity ; Prognosis ; Testis