Effects of oral estrogen (Tibolone) on the urinary symptoms and urodynamics parameters were assessed by a double-blind prospective trial in 24 postmenopausal women. Patients were assessed subjectively and objectively before and after treatment by symptom score change, urethral pressure profiles and uroflow. There was statistical difference in the subjective response (symptom score) to treatment between the two groups (p<0.001), there was no significant urodynamic changes (p> 0.05). Although there was no significant urodynamic changes, estrogen treatment in postmenopausal women was effective to improve urinary symptoms. Careful observation with periodic follow up will be needed because of possible harmful side effects of estrogen.
Estrogens* ; Female ; Follow-Up Studies ; Humans ; Prospective Studies ; Urodynamics*

The Authors recently experienced with a 11 years old female patient who had a cysticercus in her left inferior rectus muscle. Under the diagnosis of a conjunctival cyst, a surgical intervention was carried out. The microscopic studies revealed that as a cysticercus cellulosae. The post-operative outcomes are uneventful and the ocular functions are satisfactory, visual acuity and ocular motility as well.
Child ; Cysticercus* ; Diagnosis ; Female ; Humans ; Visual Acuity

Primary hyperparathyroidism is not a rare disease, but only several cases have been reported in Korean literature. Recently, we experienced one case of primary hyperparathyroidism with hypercalcemia, hypercalciuria, ureteral stones, skeletal abnormalities. We describe a case of primary hyperparathyroidism which was confirmed through the measurement of serum calcium and parathyroid hormone, neck CT scan, subtraction scan and surgical exploration The serum calcium and parathyroid hormone levels were normalized postoperatively.
Calcium ; Child* ; Humans ; Hypercalcemia ; Hypercalciuria ; Hyperparathyroidism ; Hyperparathyroidism, Primary* ; Neck ; Parathyroid Hormone ; Rare Diseases ; Tomography, X-Ray Computed ; Ureter ; Urolithiasis*

The term Down's syndrome is preferred to mongolism. The most constant characteristic of disease is mental retardation. The incidence of Down's syndrome is about 1/600 in the general population, being roughly the same in various parts of world and in all races. The patient's mother's age at the same time of conception as well as the nature of chromosomalmalformation are in genetic counseling. We reported a case of Down's syndrome in 5 year old female who was bone in 38 year old mother, and she was noted epicanthus, nystagmus, esotropia, Brush-field spots. Other systemic manifestation-, Simian crease, short extrimites, inward curved 5th finger, Sandal gap foot, congenital heart disease, prominent abdomen-, was also noted.
Adult ; Child, Preschool ; Continental Population Groups ; Down Syndrome* ; Esotropia ; Female ; Fertilization ; Fingers ; Foot ; Genetic Counseling ; Heart Defects, Congenital ; Humans ; Incidence ; Intellectual Disability ; Mothers

Clinical Protocols ; Follow-Up Studies ; Genioplasty ; Humans ; Malocclusion ; Malocclusion, Angle Class III ; Orthognathic Surgery ; Osteotomy

Cleft Lip ; Follow-Up Studies ; Gastrointestinal Tract ; Humans ; Intention ; Maxilla ; Mouth ; Orthognathic Surgery ; Orthopedics ; Palate ; Palate, Hard ; Palate, Soft ; Prosthodontics ; Rehabilitation

No abstract available.
Vascular System Injuries

Calcium channel blockers (CCBs) are very popular drugs to lower blood pressure (BP) without significant side effects. A 72-year-old man admitted for uncontrolled hypertension. He had history of hypertension, atrial fibrillation with slow ventricular response, angina, abdominal aortic aneurysm, and stage 3 chronic kidney disease. He had taken several anti-hypertensives, such as amlodipine 5 mg, perindopril 8 mg, and indepamide 1.5 mg. To control BP, nifedipine 120 mg was added. Then pulmonary edema and pleural effusion was developed. Echocardiography showed preserved left ventricular ejection fraction and mild mitral regurgitation. Fluid restriction and high dose furosemide did not cease pleural fluid accumulation. Thus a total of 4 times of thoracentesis were done and all fluid analyses revealed transudate. We thought that pleural effusion and pulmonary edema was induced by CCBs and discontinued the drugs. He recovered quickly and finally discharged in a stable condition.
Aged ; Amlodipine ; Antihypertensive Agents ; Aortic Aneurysm, Abdominal ; Atrial Fibrillation ; Blood Pressure ; Calcium Channel Blockers* ; Calcium Channels* ; Calcium* ; Echocardiography ; Exudates and Transudates ; Furosemide ; Humans ; Hypertension* ; Mitral Valve Insufficiency ; Nifedipine ; Perindopril ; Pleural Effusion* ; Pulmonary Edema* ; Renal Insufficiency, Chronic ; Stroke Volume

The primary malignant melanoma of spinal cord is a rare tumor cause of compression of the cord 6)7). We are reporting a case of malignant melanoma, apparently originating from leptomeninges, of with diffuse neoplastic process widely spreaded over the area of cervicothoracic spinal cord of 34-yr-old woman.
Female ; Humans ; Melanocytes ; Melanoma* ; Spinal Cord*

We found enterobacteriaceae in throat culture of premature infants in our nursery who showed poor appetite, poor activity and irregular weight gain and was diagnosed as having respiratory distress syndrome and pneumonia from May 1980 to August 1980. At this time we also found enterobacteriaceae in throat cultures of three normal newborns whose each age was at 1 hr old, 20 hrs old and 8 days old. So we started epidemiologic study which consisted of microbial culture of nursery room, delivery room, operation room and personnel of nursery. We found proteus vulgaris from a cockroach which was found at our nursery accidentally, but this was not the same species which was found at premature baby. We found normal throat flora at the culture of throat of personnel of nursery room. In hand culture of 21 nursery room personnel, coagulase negative staphylococcus epidermidis was found which colony count was 1-17 in 16 personnel at 1st culture, 1-35 in 11 personnel at 2nd culture before hand washing with Physohex solution, and 1-25 in 13 personnel at 1st culture, 3-14 in 3 personnel at 2nd culture after hand washing with Physohex solution. we did not found the origin of enterobacteriaceae but suspect that the prevalence of enterobacteriaceae in our nursery room was by the hands of personnel in nursery room.
Appetite ; Coagulase ; Cockroaches ; Delivery Rooms ; Enterobacteriaceae Infections* ; Enterobacteriaceae* ; Epidemiologic Studies* ; Hand ; Hand Disinfection ; Humans ; Infant, Newborn ; Infant, Premature ; Nurseries* ; Pharynx ; Pneumonia ; Prevalence ; Proteus vulgaris ; Staphylococcus epidermidis ; Weight Gain