Leiomyoma is one of the rarest solid tumor of the ovary. Approximately 50 cases have been published to date. However, most reported leiomyoma of the ovaries were small and rarely induced serious symptoms. We report a case of ovarian leiomyoma in 57-year-old woman which has been experienced in our haspital with brief review of literature.
Female ; Humans ; Leiomyoma* ; Middle Aged ; Ovary*

BACKGROUND: It has been well known that cFos protein, one of the immediate-early gene proteins, was a cellular marker to characterize physiological or anatomical property of neural networks in mammalian brain. The purpose of this study was to evaluate quantitative change of cFos protein expression in rat brain nuclei concerned with regulation of blood pressure according to severity of hypotension and compare the spatial pattern of cFos between hemorrhagic hypotension and non-hemorrhagic hypotension elicited by vasodilatation. METHODS: The mean blood pressure (MBP) in the femoral artery was recorded by using pressure transducer and polygraph. Nitroprusside was injected into the femoral vein with constant flow rate by means of osmotic pump in which the dosage was 5microgram Per kg a minute. Immunohistochemical staining was Performed by using conventional ABC method to visualize cFos-like immunoreactive (cFLI) neurons in many brain nuclei and FLI cells were counted by image analyser. RESULTS: Mild hemorrhage group with MBP of 70-80 mmHg showed significant increase of cFLI expression in the paraventricular nuclei and supraoptic nuclei. In contrast, severe hemorrhage group with MBP of 50 mmHg increased significantly cFLI expression in the rostral ventrolateral medulla, periventricular thalamic nucleus, central gray matter, medial vestibular nuclei as well as the nuclei seen in mild hemorrhage group. Nitroprusside induced hypotension exhibited a similar spatial pattern of ctrl expression to severe hemorrhage group. CONCLUSION: These results suggest that severe reduction of blood pressure induces expression of cFLI neurons in the neural network systems that control vital organs.
Animals ; Blood Pressure ; Brain* ; Femoral Artery ; Femoral Vein ; Genes, Immediate-Early ; Hemorrhage ; Hypotension* ; Neurons ; Nitroprusside ; Rats* ; Transducers, Pressure ; Vasodilation ; Vestibular Nuclei

BACKGROUND: To collect the data related to the prevention of death in pediatric patients in the emergency center, the authors made a clinical analysis of pediatric death patients who visited the emergency center of Wonkwang University Hospital. METHODS: The authors performed a retrospective analysis of 49 pediatric deaths under the age of 16 years, observed in the Wonkwang University Hospital emergency center from January 1st, 1995 to December 31th, 1996. RESULTS: 1) Among a total of 49 pediatric patients who died (24 patients in 1995 and 25 patients in 1996), 19 patients were dead on arrival and 30 were died after arrival. 2) The cause of death of all the patients of 1 to 5 years old was the accident, and that of the majority patients of less than 1 year was disease. 3) We observed the diurnal variation in pediatric death and the rate was higher between 12:00 to 6:00. P.M. 4) Iksan city was the most common place of residency of the patients(71.4%) 5) 36 patients (73.5%) died from traffic accidents and 29 of them were victims of pedestrian traffic accidents. 6) The most common cause of death in accidents was head injury(54%). CONCLUSION: The majority of the pediatric death patients observed in our emergency center was involved in pedestrian traffic accident, head injury, so we conclude that team approach with pediatric trauma specialist could decreased unwanted pediatric deaths.
Accidents, Traffic ; Cause of Death ; Child, Preschool ; Craniocerebral Trauma ; Emergencies* ; Head ; Humans ; Internship and Residency ; Jeollabuk-do ; Retrospective Studies ; Specialization

BACKGROUND: To collect the data related to the clinical analysis of suicidal attempters who visited the emergency center of WonKwang University Hospital. METHODS: The authors performed a retrospective analysis of 306 suicide attempters, observed in the WonKwang University Hospital Emergency Center from January 1st, 1998 to December 31th, 1998. RESULTS: 1) Factors related to increased occurrence were male(1.1:1), age of 2nd, 3rd & above 6th decade. 2) Poisoning was the most common method of suicidal attempt(90.8%). 3) The average observation time was 18.76+/-23.3 hour and average staying time in admitted patients were 40.4+/-32.3 hour. 4) Mortality rate was in male 23.1%(37/160) and in female 10.0%(15/146). 5) Among the suicidal attempters who admitted, 56 patients were admission(11.8%). 6) Consultant of neuropsychiatric department was only 10.5%(18/172), and most common underlying psychiatric disorder was depression(10/18). CONCLUSION: 1) To develope observation room decrease staying time in suicidal attempters. 2) All suicidal attempters were necessarily neuropsychiatric consultant and continuously follow-up.
Consultants ; Emergencies* ; Female ; Follow-Up Studies ; Humans ; Male ; Mortality ; Poisoning ; Retrospective Studies ; Suicide

To evaluate the influence of tourniquet ischemia and hyperthermia on the radiation effect of skin, theexperimental study was undertaken using a total of 344 mice. A single dose of irradiation from 2000 rads to 8000rads was delivered on skin of mouse tail after hyperthermia of 40degrees(C) to 42degrees(C) with or withouttourniquet application in various subgroups. The resuls are summarized as follows; 1. Tourniquet ischemia duringirradiation caused radioprotective effect. 2. Hyperthermia before irradiation induced radiosensitizing effect,which was increased with temperature elevation of hyperthermia. 3. In combination of tourniquet ischemia andhyperthermia, evident radiosensitizing effect waas noticed. This enhancing effect on irradiation was greater thanthe effect i hyperthermia only. It could be suggested that the combination of tourniquet application andhyperthermia might be intorduced in clinical radiotherapy after trail of clinical experiments on applicable typeand sutiable location of tumors.
Animals ; Fever ; Ischemia ; Mice ; Radiation Effects ; Radiation-Sensitizing Agents ; Radiotherapy ; Skin ; Tail ; Tourniquets

No abstract available.
Hyperthyroidism*

OBJECTIVE: The aims of this study were to analyze the natural history of patients with pseudomyxoma peritonei originated from mucinous ovarian tumor, evaluate clinical and pathologic variables, and review our experience with available therapeutic modalities. METHODS: Six patients were treated for pseudomyxoma peritonei originating from mucinous ovarian tumor at Severance Hospital between 1990 and 1998. The data were collected retrospectively and all charts were reviewed RESULTS: The mean age at diagnosis was 51 years, and most common symptoms were abdominal distension. Pseudomyxoma peritonei was found in association with five mucinous ovarian tumors of borderline malignancy, and one ovarian mucinous adenoma. All patients underwent surgical staging and cytoreduction, three patients received postoperative adjuvant chemotherapy and, of these, two developed recurrence. With respect to survival, all patients were alive, four were alive and free of disease, two were alive with disease at the end point of study. CONCLUSION: Pseudomyxoma peritonei is commonly associated with borderline mucinous ovarian tumors, and is a frequently relapsing and protracted disease. But aggressive and repeated debulking surgery is recommended for long survival.
Adenoma ; Chemotherapy, Adjuvant ; Diagnosis ; Humans ; Mucins* ; Natural History ; Pseudomyxoma Peritonei* ; Recurrence ; Retrospective Studies

PURPOSE: To evaluate the role of antegrade balloon dilatation and uteteral stenting in benign ureteral strictures. METHODS AND MATERIALS: Percutaneous antegrade balloon dilatation was attempted in 46 patients with benign ureteral strictures. The underlying causes of the strictures were urinary tract tuberculosis in 20 patients, congenital ureteropelvic junction obstruction in eight, ureteroneocystostomy or ureteroileostomy state in five, postoperative or post-extracorporeal shock wave lithotripsy state for ureteral calculi in eight, ureteral injury during surgery in four, and retroperitoneal fibrosis in one. RESULTS: Antegrade balloon dilatation was performed with initial technical success in 43 patients but the procedure was aborted in the remaining three with urinary tract tuberculosis due to the failure in passing a guidewire through the stenotic lesions. Intravenous urograms obtained 4-76 months after the procedure showed improvements in 76%(13/17) with urinary tract tuberculosis, in 63%(5/8) with congenital ureteropelvic junction obstruction, in 88%(7/8) with strictures associated with ureteral calculi, and in 100%(4/4) with iatrogenic ureteral injury. The results were relatively poor in strictures of the ureteral anastomosis(1/5) and in ureteralstrictures associated with retroperitoneal fibrosis(0/1). CONCLUSION: Antegrade balloon dilatation of the urinary tract combined with ureteral stenting was an effective technique for the management of the benign ureteral strictures.
Constriction, Pathologic* ; Dilatation* ; Humans ; Lithotripsy ; Retroperitoneal Fibrosis ; Shock ; Stents* ; Tuberculosis ; Ureter* ; Ureteral Calculi ; Urinary Tract

No abstract available.
Appendicitis* ; Child* ; Humans

No abstract available.
Hemoperitoneum*