No abstract available.
Diabetes Insipidus ; Holoprosencephaly

Medical records of very low birth weight infants weighing less than 1500 grams at birth were reviewed and analyzed. One hundred and forty three infants who were admitted to neonatal intensive care unit of Presbyterian Medical Center, including those who were born and transferred from other hospitals, from January 1987 to December 1991 were examined and the following results were obtained; 1) The incidence of very low birth weight infant was 1.21% 2) The most common maternal risk factor was premature labor and the next was toxemia. 3) The most common disease of very low birth weight infant was neonatal hyperbilirubinemia and the next was septicemia. 4) Twenty five infants (38.5%) of intensive care group and 67 infants (85.9%) of Not-ventilated group survived with overall survival rate of 64.6%. 5) The heavier birth weight and longer intrauterine period were factors offering better chance for survival. 6) Among 43 (30%) infants expired, 7 (16.3%) died within 24 hours after birth, 12 (27.9%) died in second or third day, 4 (9.3%) died between fourth and seventh day, and 20 (46.5%) died between eighth.and twenty eighth day.
Birth Weight ; Female ; Humans ; Hyperbilirubinemia, Neonatal ; Incidence ; Infant* ; Infant, Newborn ; Infant, Very Low Birth Weight* ; Critical Care ; Intensive Care, Neonatal ; Medical Records ; Obstetric Labor, Premature ; Parturition ; Pregnancy ; Protestantism ; Risk Factors ; Sepsis ; Survival Rate ; Toxemia

No abstract available.
Cesarean Section* ; Female ; Pregnancy ; Pulmonary Embolism*

Neurofibromatosis type 1 (NF1; also known as von Recklinghausen's neurofibromatosis) is inherited in an autosomal dominant fashion, although it can also arise due to spontaneous mutation. Gastrointestinal involvement of NF1 is seen in 10% to 25% and causes symptoms in fewer than 5%. Histologically, the gastro intestinal (GI) manifestation of NF1 occurs in three forms: hyperplasia of the gut neural tissue, stromal tumors, and duodenal or periampullary endocrine tumors. A 31-year-old female, diagnosed with NF1, presented with poor oral intake and vomiting for 10 days prior to admission. Preoperative gastrofiberscopic finding was gastric outlet obstructing polypoid duodenal bulb lesion. The patient underwent hemigastrectomy with antecolic gastrojejunostomy due to gastric outlet obstruction. The final pathologic report was submucosal neurofibromatous proliferation with Brunner's gland hyperplasia located at the duodenal bulb in the NF1 patient. We report this case with a review of literatures.
Adult ; Female ; Gastric Bypass ; Gastric Outlet Obstruction ; Humans ; Hyperplasia ; Neurofibromatoses ; Neurofibromatosis 1 ; Vomiting

PURPOSE: To investigate the risk factors of recurrence after their first febrile convulsions. And to evaluate effect of anticonvulsant therapy with recurrent febrile convulsion infants and children. METHODS: We have studied the relationship of their clinical pictures and factors related to the risk of recurrence of 178 patients with primary or recurrent febrile convulsion, who were admitted to department of pediatrics, or visited to emergency room, chonju presbyterian medical center from january 1983 to december 1992. The 178 patients were followed up and consisted of the 97 patients with primary febrile convulsion and the others 81 patients with recurrent febrile convulsions. RESULTS: 1) In sex distribution, the boys(59%) outnumbered the girls(41%) and the ratio was 1.4:1. 2) 95% of overall patients were occurred febrile convulsion under 5 year-old and recurrent rate was 45.5%. In recurrent cases, the first episode under the 12 months was 50.6%(p<0.005). 3) There were family history of febrile convulsion in 28.4% of recurrent cases, compared to 10.9% of primary cases(p<0.001). 4) There was no significant difference with duration and type of convulsion in both groups. 5) Small proportion of 27 children were prescribed anticonvulsants (phenobarbital), but it's not reduced the recurrence and epilepsy significantly. CONCLUSIONS: The risk factor of recurrent febrile convulsion were the first episode under 12 month and familial history of febrile convulsion.
Anticonvulsants ; Child ; Child, Preschool ; Emergency Service, Hospital ; Epilepsy ; Humans ; Infant ; Jeollabuk-do ; Pediatrics ; Protestantism ; Recurrence* ; Risk Factors ; Seizures ; Seizures, Febrile* ; Sex Distribution

A 41-year-old female was admitted to our hospital for self-audible wheezing sound and dyspnea. On past history, she has been suffered from chest discomfort, and treated recurrently by other hospitals. But, there was no symptomatic improvement. A stridor and mixed wheezing sound was auscultated on whole lung field. PFT revealed fixed type or variable intra- & extra-thoracic air way obstructive pattern. By bronchoscopy & bronchogram, we found web-like structure on the distal trachea. A bronchoplasty was performed and the post-operative PFT showed slight improvement & she had no more complaints.
Adult ; Bronchoscopy ; Dyspnea ; Female ; Hemoptysis* ; Humans ; Lung ; Respiratory Sounds ; Thorax ; Trachea

Background/Objectives: Extra-nodal extension (ENE) is one of the strongest prognosticators in oral cancers. Here we tried to evaluate clinicopathological factors associated with the presence of ENE.Materials & Methods: We retrospectively analyzed clinical information of 120 patients who diagnosed with oral cancer and received curative surgery at our hospital from Mar 2012 to Apr 2020. We comparatively analyzed clinicopathological factors associated with the presence of lymph node (LN) metastasis and ENE, respectively. Results: Variable factors of primary tumor characteristics such as lymphovascular invasion, perineural invasion, largest diameter of tumor, depth of invasion and maximum standardized uptake value were significantly associated with the presence of cervical LN metastasis. The largest diameter of tumor was statistically significant also in multivariate analysis for predicting the LN metastasis. Meanwhile, the association between primary tumor characteristics and the presence of ENE were not statistically significant except the primary tumor size. Importantly, factors associated with LN characteristics including the maximum diameter and number of metastatic LNs were significantly associated with ENE. Conclusion In this study, several factors affecting cervical LN metastasis and ENE in oral cancer patients were identified. The ENE seems to be influenced by the status of the metastatic LNs, such as the number of metastatic LNs, rather than the characteristics of the primary tumor itself.

Total anomalous pulmonary venous confluence(TAPC), a rare cyanotic congenital anomaly of the heart especially in adult, is now diagnosed by echocardiography instead of cardiac catheterization with high sensitivity and specificity. The key points are identification of pulmonary veins, pulmonary venous confluence draining anomalously to the heart. RVDVO on M-mode, abnormal echo free space posterior to left atrium on 2D-echo are basic characteristics of TAPVC. Peak velocity and flow profile measurement on the doppler provide additional informations : obstruction and anomalous vessels. A case of 23 year old male with supracardiac type TAPVC diagnosed by echocardiography was corrected successfully by surgery.
Adult* ; Cardiac Catheterization ; Cardiac Catheters ; Echocardiography* ; Heart ; Heart Atria ; Humans ; Male ; Pulmonary Veins ; Sensitivity and Specificity ; Young Adult

A 40-year-old man suffered from a repeatedly recurrent desmoplastic ameloblastoma in the right maxillary anterior and premolar regions. During the first visit, the patient was provisionally histopathologically diagnosed with a developmental cyst, and it was confirmed to be unicystic ameloblastoma and resected. Four years later, the lesion recurred, and was diagnosed as a desmoplastic type of ameloblastoma and removed again. Then, 5 years after the second surgery, the lesion recurred again, and was diagnosed as a type containing a follicular pattern, recurrent ameloblastoma. A panoramic radiograph showed a multilocular and mixed radiolucent/radiopaque expansile lesion at the first visit, a unilocular cystic lesion confined to the premolar area at the second visit, and a small soap bubble appearance in the molar area in the final visit. Cone-beam computed tomographic images of the final recurrence of the tumor revealed multiple small cyst-like structures in the right maxillary anterior and posterior regions.
Adult ; Ameloblastoma ; Bicuspid ; Cone-Beam Computed Tomography ; Humans ; Molar ; Radiography, Panoramic ; Recurrence ; Soaps

We saw a case of minoxidil induced pericardial effusion in a 36 years old female who developed generalized edema, weakness and hypertrichosis after taking minoxidil for 1 year. Her chest PA showed globular shaped cardiac enlargement and pulmonary congestion. Echocardiography of the heart showed moderate amount of pericardial effusion. 10 days later after cessation of the drug administration and conservative managements, her chest PA showed marked improvement of heart size and pulmonary congestion. 20 days later her blood pressure became normal with the continued use of other antihypertensive drugs.
Adult ; Antihypertensive Agents ; Blood Pressure ; Echocardiography ; Edema ; Estrogens, Conjugated (USP) ; Female ; Heart ; Humans ; Hypertrichosis ; Minoxidil* ; Pericardial Effusion* ; Thorax