No abstract available.

No abstract available.

No abstract available.
Child* ; Humans ; Infant*

Eleven cases of juvenile diabetes mellitus who were admitted Seoul National University Hospital from Jan., 1969 to Aug., 1978 were aha1yzed. The mean age of onset was 7 and female to male ratio was 8 to 3 with female preponderance. Four had family history of diabetes, although none had diabetic sibling. Polyuria and polydipsia were noted in all cases as initial symptoms, and symptoms of weight loss (6 cases), disturbances in consciousness (5), generalized weakness (5), anorexia (4) and enuresis (3) were noted in the order of frequency. Leucocytosis was noted in 5 cases, but only 2 among the 4 who had infection revealed leucocytosis, The mean blood glucose level was 320 mg% and serum osmolality was 293 mOsm/L. There was no significant difference in the level of blood sugar and serum osmolality according to the consciousness status. Eight episodes of ketoacidosis occured in 5 cases. Three episodes developed due to discontinuance of insulin and three episodes accompanied infection. The mean blood glucose level was 495 mg% and serum osmolality was 300 mOsm/L in ketoacidosis. The consciousness cleared in average 20 hours and ketonuria disappeared in average 26 hours after the administration of insulin (average 5 units/kg of body weight). At discharge, the average dose of insulin needed was 1.2 U/kg/d. Six patients were followed from 6 months to 6 years. Two developed pulmomary tuberculosis during the period of follow up.
Age of Onset ; Anorexia ; Blood Glucose ; Consciousness ; Diabetes Mellitus* ; Enuresis ; Female ; Follow-Up Studies ; Humans ; Insulin ; Ketosis ; Male ; Osmolar Concentration ; Polydipsia ; Polyuria ; Seoul ; Siblings ; Tuberculosis ; Weight Loss

Continence and micturition involve urethral closure. Especially, insufficient strength of the pelvic floor muscles including the urethral sphincter muscles causes urinary incontinence (UI). Thus, it is most important to understand the main mechanism causing UI and the relationship of UI with the urethral sphincter. Functionally and anatomically, the urethral sphincter is made up of the internal and the external sphincter. We highlight the basic and clinical anatomy of the internal and the external sphincter and their clinical meaning. Understanding these relationships may provide a novel view in identifying the main mechanism causing UI and surgical techniques for UI.
Autonomic Nervous System ; Muscles ; Pelvic Floor ; Pudendal Nerve ; Urethra ; Urinary Incontinence ; Urination

A hemorrhagic disease due to prothrombin complex deficiency os described in 4 infants from 1 to 11 months of age. This disease is different from the hemorrhagic disease of the newborn. The main differences are that it is found in an older age group and that intracranial hemorrhages are frequent. Rapid clinical and laboratory response after vitamin K therapy are observed. Severe prothrmbin complex deficiency due to vitamin K deficiency is a accounted for the pathogenesis of bleeding. Possible causes of vitaimn K deficiency are reviewed.
Hemorrhage ; Humans ; Infant ; Infant, Newborn ; Intracranial Hemorrhages ; Prothrombin ; Vitamin K ; Vitamin K Deficiency

BACKGROUND/AIMS: We studied to evaluate the virological and biochemical responses to lamivudine and to detect YMDD mutants in patients who received long-erm lamivudine therapy. METHODS: We conducted a one-ear trial of lamivudine in 45 Korean patients with chronic liver disease due to hepatitis B virus. The patients were treated with a single oral average dose of 100 mg of lamivudine every day for 12 months. RESULTS: The suppression of serum HBV DNA was sustained in 77.8% of the patients and the normalization of serum ALT in 80%. The proportions of patients with HBeAg seroconversion were 25%. YMDD mutants were detected in 4 of 8 patients who showed sustained HBV DNA and serum ALT response (n=31) and in 3 of 8 patients who showed HBV DNA or serum ALT breakthrough (n=9). The response to lamivudine therapy in HBeAg-egative patients was excellent. CONCLUSION: Lamivudine therapy resulted in a significant virological and biochemical improvements and were well tolerated. But, YMDD mutants were detected during lamivudine therapy.
DNA ; Hepatitis B e Antigens ; Hepatitis B virus* ; Hepatitis B* ; Hepatitis* ; Humans ; Lamivudine* ; Liver Diseases* ; Liver*

Ultrasound is over 20 khz, which represents the upper frequency limit of human hearing. Acoustic vibrations are generated when piezoelectric materials on the thin disc-shaped transducers expand and contract. Although low frequency ultrasound devices have been used widely in the dermatologic area for a long time, the mechanism and side effects have been overlooked. A low-frequency ultrasound device has many benefits on the cosmetic dermatology area by thermal effect, vibration effect, and increase of transdermal delivery of lipophilic drugs or cosmetics. However, there have been reports of dermatitis, dyspnea, dizziness, and burns after treatment with ultrasound. Therefore, the use of this device should be under a doctor's supervision.
Acoustics ; Burns ; Contracts ; Cosmetics ; Dermatitis ; Dermatology ; Dizziness ; Dyspnea ; Hearing ; Humans ; Organization and Administration ; Transducers ; Ultrasonics ; Vibration

Alcohol beverages have been used since the dawm of history and the pharmacology of alcohol has been studied extensively and the question whether alcohol is a stimulant has long been debated. now there seems little couble that alcohol is a primarys and continuous depressant of the CNS, and the general pharmacologic action of alcohol on the body is one of depression. The effects of various concentrations and type of alcoholic beverages on the gastrointestinal motor and secretory functions are influenced by a number of factors such as the state by the digestive processes, the presence or absence or gastrointestinal diseases, the amount and type of food present, the degree of tolerance for alcohol, accompanying psychological factiors, and so forth. it is generally accepted that gastirc secretion is stimulated by ehanol, but effects of ethanol on the motility of the gastrointestinal tract has not been clarified yet. Hence the present study was undertaken to investigate the effects of ethanol on gastrointestinal motility. The rabbits of either sex, weighting about 2kg, were killed by air embolism after 72 hours deprivation of food except water. The stomach and duodenum were isolated and cut into two parts, i.e. antrum and duodenum. Each strip of antrum and duodenum, sized 0.5X2.0cm, was placed in temperature controlled uscle chamber(37 degrees C) Containing Tyrode's solution and its contractile movement was recorded on Grass Polygraph(Model 7) via force displacement transducer(FT.03). The results are summarized as follows: 1) The strips of gastric antrum and duodenum showed spontaneous regular movement through the experimental period. Administration of ethanol from 0.1 to 1.0% inhibited the amplitude and frequency of both strips with dose-dependent manner. Most strips of the duodenum and 6 strips of the antrum showed relaxations of tone by ethanol and 4 strips of the antrum showed increased tone. 2) Tonic contraction of antral strips by ethanol was abolished only by the combined pretreatment of atropine and chlorpheniramine, or atropine and cimetidine, not by the phentolamine, proproanolol, atropine, hexamethonium, chlorpheniramine or cimetidine alone. 3) Inhibition of antral and duodenal motility by ethanol was not abolished by anyy one of the receptor blocking agents such as adrenergic alpha and beta, buscarinic, or histaminergic H-1 and H-2 receptor blocking agents. By the above resutls, it may be concluded that ethanol inhibits the motility of the duodenum, but excites or inhibits the motility of the gastric antrum. It is likely that the inhibitory effect of ethanol is it derect action on the smooth muscle, and the excitatory effect is mediated by a mechanism related with histamine and acetylcholine.
Acetylcholine ; Alcoholic Beverages ; Atropine ; Beverages ; Chlorpheniramine ; Cimetidine ; Depression ; Duodenum* ; Embolism, Air ; Ethanol* ; Gastrointestinal Diseases ; Gastrointestinal Motility ; Gastrointestinal Tract ; Hexamethonium ; Histamine ; Muscle, Smooth ; Pharmacology ; Phentolamine ; Poaceae ; Pyloric Antrum ; Rabbits ; Relaxation ; Stomach

Leakage studies have been performed frequently, since a fluid-tight seal provided by various dental filling materials has been considered clinically important. The leakage of the various root-end filling materials has been widely investigated mostly dye penetration method. These dye studies cannot offer any information about the quality of the seal of a test material over a long period of time The purpose of this study was to evaluate the microleakage of root end cavities in blood contamination filled amalgam, intermediate restorative material(IRM), light cured glass ionomer cement(GI) and mineral trioxide aggregate(MTA) by means of a modified fluid transport model. Fifty standard human root sections, each 5mm high and with a central pulp lumen of 3mm in diameter, were and filled with our commonly used or potential root end filling materials after they were contaminated with blood. At 24h, 72h, 1, 2, 4, 8, and 12 weeks after filling, leakage along these filling materials was determined under a low pressure of 10KPa(0.1atm) using a fluid transport model. The results were as follows: 1. MTA group showed a tendency of decreasing percent of gross leakage (20ml/day) in process of time, whereas the other materials showed a tendency of increasing in the process time. 2. At the all time interval, GI group leaked significantly less than amalgam group and IRM group (p<0.05). 3. At the 4 weeks, the percentage of gross leakage in MTA group decreased to 0% thereafter, the low percentage of gross leakage was maintained in MTA group until the end of the experiment, whereas the percentage in IRM group increased to 100%. 4. At the 12 weeks, percentage of gross leakage was significantly low in MTA group(0%), comparison with GI group(40%), amalgam group(90%) and IRM group(100%), but there was no significant difference between latter two materials.
Acrylic Resins ; Glass ; Glutamates ; Guanine ; Humans ; Light ; Silicon Dioxide ; Pemetrexed