No abstract available.

No abstract available.
Chorion* ; Chorionic Villi Sampling* ; Chorionic Villi* ; Female ; In Situ Hybridization* ; Pregnancy

The objective is to evaluate the rate and indications of cesarean delivery. All live birth>27weeks at the Dongsan Medical Center, Keimyung University from 1993 to 1997(n=24,227) were respectively analyzed of delivery route, indication of cesarean birth, gestational age, and matemal age. The most common maternal age was between 26-30 years(49.6%). The most common gestational age was over 36 weeks(91.2%). Total cesarean rate was 22.3%(5,396/24,227), and primary rate was 13.6%(3,296/24,227). The annual primary cesarean birth rate and number increased gradually. Abnormal presentation was the most common indication(24.3%, 801/3,296) at primary cesarean deliveries. The second common indication was CPD(18.87%, 622/3,296). We experienced four cases of cesarean hysterectomy due to uterine atony and placenta previa. Further evaluation will be needed about the relationship between cesarean deliveries and long term fetal outcome, and the effort for VBAC will be needed.
Birth Rate ; Gestational Age ; Hysterectomy ; Maternal Age ; Parturition ; Placenta Previa ; Uterine Inertia

OBJECTIVE: The objective of the present study was to evaluate incidence, parirty, gestational age, cause, termination method, and maternal complication of fetal death in utero(IUFD) clinically. METHODS: A retrospective analysis was made of the birth register and hospital records of 384 cases of the fetal death in utero among 23,703 deliveries at Dongsan Medical Center, Keimyung University during 5 years from January 1993 to December, 1997. RESULTS: The incidence of the fetal death in utero was 1.62%. The parity of mother in the fetal death in utero was the most highest in the nulliparous group(26.0%). The most common gestational week when the fetal death in utero was detected was 25-28 weeks gestational period(29.4%). The sex ratio of male vs female fetus was 1.32:1, and the cases of the fetal death in utero weighting less than 2500 gm were 332 cases(86.3%). The mode of the delivery for the fetal death in utero showed that the induction of labor was most common 71.6%, the spontaneous delivery 27.8%, and the laparotomy was 0.2%. The causes of the fetal death in utero showed unexplained causes(34.l%), congenital anomaly(I6.9%), maternal disease(14.3%), pregnancy-induced hypertension(9.6%), abruptio placenta(8.8%), cord complication(5%), and placenta previa(4%). There were 38 cases(9.8%) of maternal complication. CONCLUSION: The cause in about one third of the IUFD could not be determined by this clinical studies, so further studies with autopsy and chromosomal study must be made on stillborn infants, placenta, cord and fetal membranes in cases where the causes is unknown for the purpose of good outcome in next pregnancy.
Autopsy ; Extraembryonic Membranes ; Female ; Fetal Death* ; Fetus ; Gestational Age ; Hospital Records ; Humans ; Incidence ; Infant ; Laparotomy ; Male ; Mothers ; Parity ; Parturition ; Placenta ; Pregnancy ; Retrospective Studies ; Sex Ratio

No abstract available.
Cause of Death* ; Korea ; Stroke*

There are many kinds of cardiac complications of hyperthyroidism such as angina pectoris, myocardial infarction, atrial fibrillation, congestive heart failure, heart block and sudden death. While angina is not uncommonly seen in association with hyperthyroidsm, it is rare that myocardial ischemia or infarction may be caused by coronary vasospasm. A 46 year-old man, who had been diagnosed with hyperthyroidism at the first admission, presented with chest pain. The serum thyroid hormone was still elevated. Serial ECGs showed significant ST elevation suggesting transmural ischemia, but coronary angiogram did not reveal any significant lesion. ECG at discharge was normalized without evidence of myocardial infartion. We report this case as an example of severe transmural ischemia with myocardial injury caused by coronary spasm associated with hyperthyroidism.
Angina Pectoris ; Atrial Fibrillation ; Chest Pain ; Coronary Vasospasm* ; Death, Sudden ; Electrocardiography ; Heart Block ; Heart Failure ; Humans ; Hyperthyroidism* ; Infarction ; Ischemia ; Middle Aged ; Myocardial Infarction ; Myocardial Ischemia* ; Spasm ; Thyroid Gland

No abstract available.

For selected subsets of colon cancer (T4 lesions or those with cancers in areas of the colon where anatomic factors preclude surgery with adequate resection margins), local failure rates are similar with those of rectal cancers. The role of adjuvant external beam radiation therapy in this subset of patients has been evaluated in both retrospective and prospective studies. Postoperative radiation with or without 5-FU improved local control and disease-free survival when compared with historical controls in many single-institution studies such as MGH series, however, there is no phase-III prospective randomized study to elucidate the role of postoperative radiation therapy. One must treat each patient on the basis of through evaluation of stage, operative findings, and results of pathologic and imaging studies.
Colon* ; Colonic Neoplasms* ; Disease-Free Survival ; Fluorouracil ; Humans ; Prospective Studies ; Radiotherapy* ; Rectal Neoplasms ; Retrospective Studies

The author analyzed the clinical study of 214 patients with congestive heart failure who were confirmed by the clinical symptoms and the laboratory findings among the admitted patients in Busan university Hospital between 1965 and 1972. The results were summarized as follows: There were males 127 and females 87 of 214 cases and the incidence was the highest in the 6th decade. The etiologic diagnosis was listed in table 2, that showed the rheumatic heart disease 34.6%, arteriosclerotic heart disease 23.8% and hypertensive heart disease 22.4% of total patients. The important symptoms such as dyspnea, palpitatia, fatigability, cough, chest discomfort and orthopnea were noticed and the physical findings such as heart murmur, hepatomegaly, edema, enlarged cervical veins, pulmonary congestion, arrhythmia and thrill were revealed on the admission. The venous pressure, measured in 85 patients, was above 150mm H20 in 71 cases. The serum chemical findings were listed in table 6 and abnormal retention of BSP was the most sensitive in congestive heart failure. The level of NPN, VUN and ceatinine was increased in one quarter of total cases. The clinical symptoms and laboratory findings were more severe in the right heart failure or the right and left heart failure than in the left heart failure. ESR was increased in 66.7% of cases and albuminuria was revealed in 47.1%. The E.C.G. findings at admission revealed prolonged Q-Tc(41%), inverted T wave(44.3%), LVH(43.2%), depressed ST segment (35.2%), flat T wave (30.7%) and atrial fibrillation(27.8%). The Chest X-ray findings showed cardiomegaly(42.2%), Pulmonary congestion and cardiomegaly(20.3%), pulmonary congestion (11.2%) and pericarditis (4.2%).
Female ; Male ; Humans ; Incidence

No abstract available.
Humans ; Male* ; Osteoporosis*