No abstract available.
Kidney Calculi*

The role of the Orthodontist in cleft lip and cleft palate therapy is primarily ill correction of malocclusion which is required by practically every child who has these defects. He can contribute to the assessment of dento-facial growth and development. We may gain the possible limited correction of delayed malocclusion due to cleft lip and palate. The authors have attempted delayed orthodontic treatment of a cleft lip and palate of 12.9 years old girl, who had a cleft lip and palate of surgical closure at 2,3 and 4 years old.
Child ; Child, Preschool ; Cleft Lip* ; Cleft Palate ; Female ; Growth and Development ; Humans ; Malocclusion ; Palate*

The giant intra-articular osteochondroma of the knee is very rare and is probably result of synovial metaplasia of the fibrous capsule or of the adjacent connencive tissue of a joint, and of the fragment of articular cartilage. The gross findings and histology are consistent with the osteochondroma. The authors experienced a case of giant intra-articular osteochondroma of the right knee in a 19 years old man who had history of knee injury when he was 16 years old. The mass was excised and the symptome was relieved.
Cartilage, Articular ; Joints ; Knee Injuries ; Knee ; Metaplasia ; Osteochondroma

No abstract available.
Echocardiography* ; Echocardiography, Doppler, Color ; Ligation*

We report a case of ciliated hepatic foregut cyst which was incidentally found in a 64 year-old man. The cyst, 6 cm in diameter, was unilocular, solitary and was located in the medial segment of left lobe, just below the Glisson's capsule. Microscopically, the cyst wall consisted of 4 layers; pseudostratified ciliated columnar epithelium, subepithelial loose connective tissue, smooth muscle bundles and an outermost fibrous capsule. Although cartilage or subepithelial sero-mucous glands were absent, the morphologic features of the cyst correspond with those of an incomplete form of brochogenic cyst.
Cysts

NO abstract available.
Glomerulonephritis, IGA* ; Humans ; Immunoglobulin A* ; Lymphocytes* ; RNA, Messenger* ; Transforming Growth Factor beta

Clozapine use is associated with various adverse events, some of which have received little attention, including eosinophilia, pleural effusion, and hepatitis. Because of the fatality of jaundice with hepatitis, it is necessary to understand the course and management of clozapine-induced eosinophilia and hepatitis. We report on a case in which the eosinophil count began to increase shortly after clozapine use, and pleural effusion and fever then developed at the time eosinophilia was at its peak level. Jaundice with hepatitis consecutively developed when all the above symptoms subsided. The liver function recovered rapidly after clozapine was discontinued. We recommend that patients who develop rapid eosinophilia at the beginning of clozapine treatment should be monitored with LFTs, chest X-rays, and urine analysis tests.
Clozapine ; Eosinophilia ; Eosinophils ; Fever ; Hepatitis ; Humans ; Jaundice ; Liver ; Pleural Effusion ; Thorax

OBJECTIVE: Atypical antipsychotic (AAP) treatment is associated with weight gain and metabolic disturbances such as dyslipidemia and dysglycemia. The metabolic disturbances are usually considered to develop secondary to weight gain. We performed the comparison of metabolic disturbances of three AAP group with different risk of metabolic side effect after adjusting for body mass to investigate whether any metabolic disturbances develop independently from body mass index (BMI). METHODS: This cross-sectional study included 174 subjects with schizophrenia who were on 1) monotherapy with clozapine (CL), olanzapine (OL), or quetiapine (QT) (n=61), 2) monotherapy with risperidone (RSP) (n=89), or 3) monotherapy with aripiprizole (ARP), or ziprasidone (ZPS) (n=24) more than 1 year. Association between the prevalence of metabolic disturbances and groups were analysed using logistic regression after adjusting confounding variables including BMI. Analysese of covariance were used to compare the AAP groups in terms of the levels of metabolic parameters. RESULTS: There were significant differences among groups in terms of the prevalence of hypertriglyceridemia (p=0.015), low HDL-cholesterol (p=0.017), and hyperglycemia (p=0.022) after adjusting for BMI. Triglyceride level (p=0.014) and the ratio of triglyceride to HDL-cholesterol (p=0.004) were significantly different among groups after adjusting for BMI. CONCLUSION: In conclusion, metabolic disturbances are significantly different in AAP groups even after adjusting BMI. AAPs may have direct effect on metabolic parameters. Blood lipid and glucose levels should be monitored regularly regardless of whether patients tend to gain weight.
Antipsychotic Agents* ; Body Mass Index ; Clozapine ; Confounding Factors (Epidemiology) ; Cross-Sectional Studies ; Dyslipidemias ; Glucose ; Humans ; Hyperglycemia ; Hypertriglyceridemia ; Logistic Models ; Prevalence ; Risperidone ; Schizophrenia* ; Triglycerides ; Weight Gain ; Quetiapine Fumarate

No abstract available.
Densitometry*

Fractures in children differ from those in adults. Because the anatomy, biomechanics, and physiology of a child's skeleton very differ from those of an adult, orthopedic surgeons frequently see differences in the pattern of fractures, the problems of diagnosis, and the method of treatment. So the present study is an clinical analysis of 622 cases of children's fractures under the age of 18 years, who were treated at the department of orthopedic surgery, Presbyterian Medical Center for the past 9 years from 1973 to 1981. Results obtained are as follows: 1. The peak age was 5. 2. The incidence in male was 2 times higher than in female. 3. The most common cause of fractures was traffic accident (65.6% of all cases). 4. The fracture in femur was most common (17.7%). 5. The most common injury combined with fracture was head injury (40.3%). 6. Among the joints elbow was most commonly injuried. 7. The incidence of epiphyseal injury was 10.3%. 8. The most common type of epiphyseal injury by Salter & Harris classification was type II and it's incidence was 57.8% of all epiphyseal injury. 9. 83% of all fractures were conservatively treated. 10. The incidence of complication of all cases was 8.5%.
Accidents, Traffic ; Adult ; Child ; Classification ; Clinical Study ; Craniocerebral Trauma ; Diagnosis ; Elbow ; Female ; Femur ; Humans ; Incidence ; Joints ; Male ; Methods ; Orthopedics ; Physiology ; Protestantism ; Skeleton ; Surgeons