Two cases of traumatic bilateral anterior and posterior dislocation of hip are reported. Dislocations were developed by a traffic accident as a passenger injury in truck. In both cases, the fractued femoral heads appeared posteriorly dislocated on x-ray examination and one of them was removed through posterior approach. Primary arthroplasty for operated hip was not attempted because the patient was young and the defect seemed to be unrelated to weight bearing surface. Extreme rarity of its incidence and curious uncertain mechanism of injury urge to report these cases.
Accidents, Traffic ; Arthroplasty ; Dislocations ; Head ; Hip ; Humans ; Incidence ; Motor Vehicles ; Weight-Bearing

No abstract available.
Primary Myelofibrosis*

No abstract available.
Female ; Granulosa Cell Tumor* ; Granulosa Cells* ; Humans ; Infant*

No abstract available.
Echocardiography* ; Endocarditis*

No abstract available.
Child* ; Humans

The effectiveneas of compression plate fixation in promoting fracture healing could be due to a specific stimulus of compression on bone formation or to enhanced immobilization. ASI type heavy plate fixation for fracture of the femoral shaft was examined on occasions in three patient in the period 1971–1973. We believe that the major effect of the compression as applied through a compression plate is that of enhanced stabilization.
Fracture Healing ; Humans ; Immobilization ; Osteogenesis

We experienced a case of transient complete A-V block, which developed probably due to acute myocarditis of viral etiology. The patient was 13 year old boy, and was admitted to our ward with chief complaints of intermittent abdominal pain and chest discomfort. The auscultation of the heart revealed, the 1st heart sounds varied in intensity, and the E.K.G. findings, checked then, showed complete A-V block with atrial rate of 110/min and ventricular rate of 73/min. We recommended absolute bed rest and oral prednisolove(50mg/day). He discharged on 10th hospital day in good condition with normalized E.K.G. finding.
Abdominal Pain ; Adolescent ; Auscultation ; Bed Rest ; Heart ; Heart Sounds ; Humans ; Male ; Myocarditis ; Thorax

Obstructive sleep apnea syndrome (OSAS) is a disorder of breathing during sleep characterized by prolonged partial upper airway obstruction or intermittent complete obstruction that disrupts normal ventilation during sleep and normal sleep patterns. Untreated OSAS can cause various problems such as cognitive deficit, attention deficit hyperactivity disorder, hypertension, cardiovascular disease, failure to thrive and mood disorder. Therefore, early diagnosis and proper management is very important. The gold standard of diagnosis of OSAS is overnight polysomnography. Treatment includes the use of continuous positive airway pressure (CPAP) and weight loss in obese children. Here, we present an obese 15-year-old boy presented with obstructive sleep apnea and attention deficit. He was diagnosed with OSAS by polysomnography and was successfully treated with CPAP.
Adolescent ; Airway Obstruction ; Attention Deficit Disorder with Hyperactivity ; Cardiovascular Diseases ; Child ; Continuous Positive Airway Pressure* ; Diagnosis ; Early Diagnosis ; Failure to Thrive ; Humans ; Hypertension ; Male ; Mood Disorders ; Obesity ; Polysomnography ; Respiration ; Sleep Apnea, Obstructive* ; Ventilation ; Weight Loss

Prognosis in carcinona of the ulerine cervix appears to be influenced by multiple factors (the size of primary tumor, nodal status, deep invasion into cervical stroma, histologic grade etc) that are frequently in terrelated. Recently other new factors may have been propoeed as prognostic factors in cervical cancer, such as number of cells in S-phase, or act,ivation of c- Ha-ras nnnd c-myc protooncogenes. It has been sug gested that c-myc proto-ancogene is associated with cellular proliferation and that its inappvopriate expression may be involved in carcinogerieais and in tumor progression. But its status as prognostic factor in cervical cancer is controversal. So we studied 42 with normal cervix and 61 wiith cervical carcinorna to investigate the relatiarship betwveer the prognostic variables of the cervical cancer(age, stage, tumor size, depth of invasion, lymph node metastasia) and c-myc gene expression, analyzed uaing immunohistochemical stainirig with formalin fixed paraffin embedded tissues from January 1985 to December 1986. And we assessed the progrioatic signifieance of r, myc gene expression by multivariate analysis. There was, significant, difference in c-myc gene expression between the normal cervix and the invasive cervical carcinama(0%: 34.4%, p<0.001). And the c-myc gene expressian was increased significantly according to clinical stage and depth of invasion. But, no relationship was found between c myc overexpression and other clinical ancl histologic parameters, such as age, primary tunaor size and lymph node metastasis. The 5 year disease free survival rates of the patients whose tumors showed c-myc overexpression were significantly lower(23.1%) than that(50.0%) of Other cancer patients. But only lymph node metastasis was significant]y related to the relative risk of relapse when the multivariate analysis was performed. These results suggested that c-myc gene expression may be associated with the cervieal tumorigenesis, but not useful as an indepenclent pragnoetic factor of the cervical carcinoma.
Carcinogenesis ; Cell Proliferation ; Cervix Uteri* ; Disease-Free Survival ; Female ; Formaldehyde ; Genes, myc* ; Humans ; Lymph Nodes ; Multivariate Analysis ; Neoplasm Metastasis ; Paraffin ; Prognosis* ; Recurrence ; Uterine Cervical Neoplasms

PURPOSE: To evaluate the accuracy of preoperative keratometers used in cataract surgery with toric intraocular lens (IOL). METHODS: Twenty-five eyes received an AcrySof toric IOL implantation. Four different keratometric methods, a manual keratometer, an IOL master, a Pentacam and an auto keratometer, were performed preoperatively in order to evaluate preexisting corneal astigmatism. Differences between the true residual astigmatism and the anticipated residual astigmatism (keratometric error) were compared at one and three months after surgery by using a separate vector analysis to identify the keratometric method that provided the highest accuracy for astigmatism control. RESULTS: The mean keratomeric error was 0.52 diopters (0.17-1.17) for the manual keratometer, 0.62 (0-1.31) for the IOL master, 0.69 (0.08-1.92) for the Pentacam, and 0.59 (0.08-0.94) for the auto keratometer. The manual keratometer was the most accurate, although there was no significant difference between the keratometers (p > 0.05). All of the keratometers achieved an average keratometric error of less than one diopter. CONCLUSIONS: Manual keratometry was the most accurate of the four methods evaluated, although the other techniques were equally satisfactory in determining corneal astigmatism.
Analysis of Variance ; Astigmatism/complications/*surgery ; *Cataract Extraction ; Female ; Humans ; Lens Implantation, Intraocular/*methods ; *Lenses, Intraocular ; Magnetic Resonance Imaging ; Male ; Prospective Studies ; Refraction, Ocular ; Reproducibility of Results ; Treatment Outcome ; Visual Acuity