No abstract available.
Cardiomyoplasty*

A case of a 17 years old Korean adolescent who suffered from secondary hydronephrosis and chronic pyelonephritis of the left kidney due to a obstructive adenofibroma, a rare tumor, arising at the ureteropelvic junction of the left renal pelvis was presented.
Adenofibroma* ; Adolescent ; Humans ; Hydronephrosis ; Kidney ; Kidney Pelvis* ; Pyelonephritis

No abstract available.

No abstract available.

No abstract available.

To analyse the rate of changes of left atrial demension in ventricular diastole in hypertensive heart disease, the velocities of early diastolic(OR) slope and presystolic(AV) slope of the motions of the posterior aortic wall were measured using M-mode echocardiogram. 18 normal subjects(Group I), 17 hypertensive patients without left ventricular thickening(Group II), 16 hypertensive patients with thickening of either interventricular septum or left ventricular posterior wall(Group III), 15 hypertensive patients with both interventricular septum and left ventricular posterior wall without dilation of left ventricle(Group IV) and 5 hypertensive patients with thickening and dilation of left ventricle(Group V) were compared. Whereas %fractional shortening and AV slope decreased in only Group V, there was a progressive increase in left atrial dimension and a progressive decrease in the OR slope and patients without left atrial dilation in Group I also decrease in OR slope. The velocity of OR slope was correlated strongly with the thickness of left ventricular posterior wall(r=-0.62, p<0.001), and weakly with left atrial dimension(r=0.379, p<0.01) but not with heart rate and %fractional shortening and the velocity of AV slope with %fractional shortening(r=0.433, p<0.001). These data suggest that the velocity of OR slope appears to be an early indicator of abnormalities of left ventricular diastolic compliance and the velocity of AV slope and indicator of systolic abnormality and rapid filling of the left ventricle is reduced early in hypertension, even before left atrial dilation or left ventricular thickening are detectable.
Compliance ; Diastole ; Heart Diseases* ; Heart Rate ; Heart Ventricles ; Heart* ; Humans ; Hypertension

Some of chronic benign recurrent dermatoses are markedly recalcitrant to the ordinary dermatological treatments. The author studied the therapeutic effect of beta ray on those of 30 patients including 6 cases of psoriasis, 3 of lichen simplex chronicus, 9 of nummular eczema, 8 of pustulosis palmaris et plantaris, and 4 of chronic eczema of the finger. All of the above were promptly recurred with ordinary treatments. Strontium 90 applicator was used as the source of beta ray and the total irradiation doses to each sites were ranged from 600 to 1500 rads in divided doses(usually weekly) over 2 to 3 weeks. The results were as follows, 1. In psoriasis patients with papular type were cleared by strontium 90, however, with chronic localized plaque type were poorly responded. The relapses of the cleared papular type were noticed between 13 to 24 days intervals, and it appeared that the larger doses did not influence significantly the clinical results. 2. Almost all of the chronic eczematous dermatoses including lichen simplex chronicus, nummular eczema, pustulosis Palmaris et plantaris, and chronic eczema of the finger, which were irradiated by beta rays following clearance with preliminary corticosteroid therapy, were recurred between 2 to 4 weeks intervals. However, larger doses resulted in prolonged recurrence intervals in a few patients. 3. No noticeable eariy hazards of irradiation were detected except for the mild hyperpigmentation on the irradiated skin.
Beta Particles ; Eczema ; Fingers ; Humans ; Hyperpigmentation ; Neurodermatitis ; Psoriasis ; Recurrence ; Skin ; Skin Diseases* ; Strontium*

A clinical observation was made on 216 cases of genitourinary tract tumors of the impatients in the Department of Urology, Chosun University Hospital during the 10 years, from January 1972 to December 1981. The results were as follows: 1. During this period, of 1282 cases hospitalized, 216 cases (180 males, 36 females) had tumors of the genitourinary tract, at the rate of 16.8%. 2. The male to female ratio was 5:1 (180:36). 3. The majority of the patients(88.4%) were distributed over age of 40 years. 4. The prostate was the most commonly involved organ (51.3%) and the tumors of the bladder, kidney, testis, penis, pelvis, ureter, urethra were in order. 5. Histopathologically, B.P.H. was observed in 43.1% of all operative tumors, transitional cell carcinoma of bladder in 28.1% and renal cell carcinoma in 5.6%. 6. Operations were performed in 160 patients (74.1%).
Carcinoma, Renal Cell ; Carcinoma, Transitional Cell ; Female ; Humans ; Kidney ; Male ; Pelvis ; Penis ; Prostate ; Testis ; Ureter ; Urethra ; Urinary Bladder ; Urology

OBJECTIVE: To evaluate the efficacy of laparoscopic surgery in the treatment of deep endomtriosis, we have studied 30 cases of deep endometriosis. Endometriosis is classified into superficial(<1mm), intermediate(2-4mm), deep(>5mm) and very deep(>10mm) endometriosis by the infiltration depth from the peritoneal surface. In the treatment of deep endometriosis, medical hormonal therapy is not effective, so surgical treatment is required. There are many difficulties in surgiacal treatment ; hard lesion to excise, ditsorted pelvic anatomy after excision, easy to damage to ureter and uterine artery, and limitation for potentially morbid procedure to whom wants to conceive. Especially laparoscopic surgery in the treatment of deep endometriosis is very difficult because it is impossible to know the depth by palpation. In deep endometriosis type II, the lesion is concealed due to rectal adhesion to cul de sac, uterosacral ligament and in type III, the lesion is regarded as a small lesion or missed due to invagination into pelvic floor. The authors compared the laparoscopic surgery with laparotomy to evaluate the efficacy of laparoscopic surgery in the treatment of deep endomtriosis. METHODS: Deep endometriosis, 30 cases out of 102 cases, which were histologically comfirmed as endometriosis were studied. The authors compared the laparoscopic surgery(15 cases) with laparotomy(15 cases) in the surgical treatment of deep endometriosis for operation procedure, operation time, hospital stay and symptoms improvement. RESULTS: The mean operation time of laparoscopic surgeries in deep endometriosis was 178.7(+/-43.1)min while type I, II and III in deep endometriosis took 148.5(+/-21.2)min, 162.0(+/-30.7)min and 245.0(+/-36.1)min respectively and took a little more time than laparotomy. Mean hospital stay in laparoscopic surgeries was 5.7(+/-1.8)days and laparotomy took 10.0(+/-2.3)days that was statistically significant. CONCLUSION: If patients are chosen adequately and operator's skills are satisfactory, laparoscopic surgery is very valuable in the treatment of deep endometriosis. More datas will be required to confirm the efficacy.
Endometriosis* ; Female ; Humans ; Laparoscopy* ; Laparotomy ; Length of Stay ; Ligaments ; Palpation ; Pelvic Floor ; Ureter ; Uterine Artery

The effect of left ventricular hypertrophy resulting from essential hypertension upon left ventricular performance was studied in 30 normotensive normal control subjects and 34 hypertensive patients; 14 hypertensive patients without left ventricular hypertrophy, 8 hypertensive heart disease patients with compensation and 12 hypertensive heart disease patients with decompensation. In hypertensive heart disease patients with decompensation, ejection fraction and mean rate of circumferential shortening was reduced(0.45+/-0.12, 0.67+/-0.20 circ/sec respectively) compaired with normal control(0.70+/-0.05, 1.16+/-0.15 circ/sec respectively), hypertensive patients without left ventricular hypertrophy(0.67+/-0.05, 1.16+/-0.15 circ/sec respectively) and hypertensive heart disease patients with compensation(0.67+/-0.07, 1.09+/-0.14 circ/sec respectively). In contrast, ejection fraction and mean rate of circumferential shortening were not significantly different among the last three groups. These results indicate that left ventricular performance measured by ejection fraction and mean rate of circumferential shortening is well preserved in hypertensive patients without left ventricular hypertrophy and hypertensive heart disease patients with compensation.
Compensation and Redress ; Heart Diseases ; Humans ; Hypertension* ; Hypertrophy, Left Ventricular*