No abstract availalble.

No abstract available.

No abstract available.
Diabetes Mellitus* ; Genetic Therapy*

No abstract available.
Diabetes Mellitus* ; Genetic Therapy*

No abstract available.
Aged* ; Female ; Humans ; Percutaneous Coronary Intervention*

BACKGROUND: The purpose of this study was to assess the prevalence of orthostatic hypotension(OH) and its associations with demographic characteristics, body mass index, medications, disease and activities of daily living. METHODS: Orthostatic hypotension was assessed at 1 minutes after the patients arose from a supine position among the 183 elderly patients aged 60 years or older in a mental hospital. RESULTS: The prevalence of orthostatic hypotension defined by changes in systolic or diastolic blood pressure was 41.0% and the prevalence of systolicorthostatic hypotension was 13.1%. Body mass index and serum sodium concentration were lower in women with orthostatic hypotension than those without orthostatic hypotension, but there were no differences among men. Orthostatic hypotension was significantly associated with the level of supine systolic and diastolic blood pressure. Through multiple logistic regression analysis, orthostatic hypotension seerned to be associated with factors such as body mass index, supine diastolic blood pressure and serum sodium concentration. There was no association between orthostatic hypotension and factors such as sex, age and medications. CONCLUSIONS: Orthostatic hypotension was common in the long-term hospitalized elderly patients. It was associated with hypertension, hyponatremia and low body weight.
Activities of Daily Living ; Aged* ; Blood Pressure ; Body Mass Index ; Body Weight ; Female ; Hospitals, Psychiatric ; Humans ; Hypertension ; Hyponatremia ; Hypotension ; Hypotension, Orthostatic* ; Logistic Models ; Male ; Prevalence ; Risk Factors* ; Sodium ; Supine Position

BACKGROUND: The purpose of this study was to assess the prevalence of orthostatic hypotension(OH) and its associations with demographic characteristics, body mass index, medications, disease and activities of daily living. METHODS: Orthostatic hypotension was assessed at 1 minutes after the patients arose from a supine position among the 183 elderly patients aged 60 years or older in a mental hospital. RESULTS: The prevalence of orthostatic hypotension defined by changes in systolic or diastolic blood pressure was 41.0% and the prevalence of systolicorthostatic hypotension was 13.1%. Body mass index and serum sodium concentration were lower in women with orthostatic hypotension than those without orthostatic hypotension, but there were no differences among men. Orthostatic hypotension was significantly associated with the level of supine systolic and diastolic blood pressure. Through multiple logistic regression analysis, orthostatic hypotension seerned to be associated with factors such as body mass index, supine diastolic blood pressure and serum sodium concentration. There was no association between orthostatic hypotension and factors such as sex, age and medications. CONCLUSIONS: Orthostatic hypotension was common in the long-term hospitalized elderly patients. It was associated with hypertension, hyponatremia and low body weight.
Activities of Daily Living ; Aged* ; Blood Pressure ; Body Mass Index ; Body Weight ; Female ; Hospitals, Psychiatric ; Humans ; Hypertension ; Hyponatremia ; Hypotension ; Hypotension, Orthostatic* ; Logistic Models ; Male ; Prevalence ; Risk Factors* ; Sodium ; Supine Position

BACKGROUND AND OBJECTIVES: Coronary collateral circulation is known to have beneficial effects in patients with angina pectoris and myocardial infarction. The purpose of this study is to determine the predictors of collateral vessels development, the pathways of collateral circulation and the changes in collateral flow after coronary intervention and its functional significance in patients with total occlusion. MATERIALS AND METHODS: One hundred thirty five patients who underwent coronary angiogram between Jan '97 and Dec '97 in Chonnam University Hospital (out of 3,264 cases) had total occlusion of one coronary artery were classified into two groups: angina pectoris (Group I:50 M, 19 F, 62.4+/-11.0 years) and acute myocardial infarction (Group II: 47 M, 19 F, 62.0+/-9.5 years). RESULTS: Among 135 patients, 123 patients had collateral circulation. Collaterals were more frequently observed and better developed (grade 2 or 3) in Group I than Group II. Proximal and ostial lesions were associated with well developed collaterals. Collateral circulation was more frequently observed and well developed in proportion to the duration of angina in Group I. In 123 patients with collateral circulation, 247 collateral circulations were observed. Right coronary artery (RCA) and Left circumflex coronary artery (LCX) were more frequent recipient arteries than left anterior descending coronary artery (LAD)(RCA:2.20+/-1.02, LCX:1.88+/-0.94, LAD:1.29+/-0.8 respectively, RCA vs. LAD:p<0.001, LCX vs. LAD:p=0.014). Coronary interventions were performed in 50 out of 135 patients, collateral flow of Group II decreased much more than Group I after intervention (Group I: 5/14, Group II: 24/36, p=0.046). The wall motion score was lower in patients with well developed than poorly developed collaterals (20.7+/-4.91 vs. 23.7+/-6.22, p=0.015). CONCLUSION: Proximal or ostial lesion and duration of angina are major predictive factors for the development of collateral circulation. Collateral circulation is associated with preserved myocardial contractility.After coronary intervention in patients with acute myocardial infarction, recruitment of preexisting collaterals may be more important mechanism rather than neoangiogenesis.
Angina Pectoris ; Arteries ; Collateral Circulation* ; Coronary Vessels* ; Humans ; Jeollanam-do ; Myocardial Infarction

No abstract available.
Dementia* ; Primary Health Care*

One case of Incontinentia pigmenti associated with convulsion has been presented and she has delayed growing and emerciation. The patient who was four months old girl had been affected irregular mesh-like dark brown or chocolate colored pigmentation on both leg (inner surfeee). Diagnosis was confirmed by characteristic clinical appearance, laboratory findings and histopathology.
Cacao ; Diagnosis ; Female ; Humans ; Incontinentia Pigmenti ; Leg ; Pigmentation ; Seizures