No abstract available.
Female ; Menstrual Cycle* ; Pregnancy Rate* ; Pregnancy*

No abstract available.
Dinoprost* ; Female ; Laparoscopes* ; Pregnancy ; Pregnancy, Tubal*

Surface ECG findings in 29 patients with left isomerism were reviewed. Among the total 46 wave axis distributions, 25(54%) were abnormal axis, not originated from sinus node. Congenital atrioventricular block was found in 2 children. 6 patients showed the bradycardia and junctional escape rhythm intermittently or persistently. 4 of them, not related with heart surgery, were much older than 2 patients who showed these ECG findings after heart surgery. These ECG findings suggested the possibility of occurrence of sinus node or subsidiary pacemaker dysfunction in the patients with left isomerism, especially in the older patients. So we thought that electrophysiologic evaluation is necessary in some patients with left isomerism.
Atrioventricular Block ; Axis, Cervical Vertebra ; Bradycardia ; Child ; Electrocardiography* ; Humans ; Isomerism* ; Sinoatrial Node ; Thoracic Surgery ; United Nations

BACKGROUND: The purpose of our study was to evaluate the accuracy of reduction based on postoperative computed tomography (CT) images after arthroscopic stabilization using tightrope system for unstable distal clavicle fracture. METHODS: Twelve patients with distal clavicle fracture combined with coracoclavicular (CC) ligament injury (type II, V) who received arthroscopically assisted fixation using a flip button device were evaluated for accuracy of reduction using 3-dimensional postoperative CT scan by measuring the degree of distal clavicular angulation and clavicular shortening. RESULTS: Immediate postoperative plain radiograph confirmed restoration of the CC distance (CCD) in 10 patients. At final follow-up, the CCD remained reduced anatomically on plain radiographs in these patients. All patients showed excessive posterior angulation and shortening compared to the opposite side. The average Constant score recovered to 94.8 at final follow-up. CONCLUSIONS: Indirect reduction and arthroscopic subacromial approach with flip button fixation of unstable distal clavicle fractures demonstrated favorable clinical results despite unavoidable posterior angulation of distal clavicle and shortening the total length of clavicle.
Arthroscopy ; Clavicle ; Follow-Up Studies ; Humans ; Ligaments ; Tomography, X-Ray Computed

Ankle arthrodesis has been regarded as a good operative treatment for post traumatic and rheumatoid arthritis of ankle, and ankle arthroplasty has been also developed with several types, from 1970, by Lord & Marotte. Ankle arthroplasty is more functional & less cosmetic troublesome than arthrodesis, and with more developed prosthesis design, more good result will come. The authors operated 6 cases of total ankle arthroplasty for posttraumatic and rheumatoid arthritis of ankle, which were also indications of arthrodesis, and introduce the results and operative problems of ankle arthroplasty.
Ankle ; Arthritis, Rheumatoid ; Arthrodesis ; Arthroplasty ; Prosthesis Design

PURPOSE: This study aimed to provide preliminary data for a nursing intervention plan to promote happiness of mothers with infants. Therefore, factors affecting happiness of mothers with infants were investigated. METHODS: Subjects were 142 mothers with children aged 1 to 3 years, in daycare centers and kindergartens located in Busan metropolitan city. Data were collected using self-reported questionnaires. RESULTS: Pressures pertaining to the parental role and distress related to subfactors of parenting stress, leisure activity (among subfactors of fathers' involvement in parenting), and marital satisfaction were significant predictors of happiness for mothers with infants. These variables explained 47.6% of the differences in happiness of mothers with infants. CONCLUSION Based on the above results, mothers with infants are happier when pressure and distress from parenting decrease and leisure activities resulting from fathers' involvement in parenting and marital satisfaction increase. Therefore, to increase the happiness of mothers with infants, the development of a nursing intervention program is necessary. Specific goals of the program should include promoting leisure activity (as fathers become more involved in parenting), decreasing distress from parenting, and improving marital satisfaction levels.

No abstract available.
Administration, Intravenous* ; Cervix Uteri* ; Cisplatin* ; Female ; Fluorouracil*

BACKGROUND: Trimetazidine 1(2, 3, 4 trimethoxybenzyl)-piperazine dihydrochloride has shown improved exercise tolerance and delayed ischemic threshold in patients with effort angina. But, unlike other classical antianginal drugs, it netiher reduces oxygen consumption nor increases the blood supply. Its effects could be attributed to protection of the myocardial cell function during ischemia, preventing the fall of ATP, reducing intracellular acidosis and subsequently preventing the accumulation of sodium and calcium in the myocyte. METHODS: We investigated the antianginal efficacy of trimetazidine(Vastinan) in 36 patients(22 males, 14 females, mean age of 56.5 year) who had positive exercise stress test among those with typical effort anginal symptoms from Feb, 1992 to Oct, 1992. These patients received 60mg trimetazidine per day(20mg tid) for 1 month and then exercise stress test, routine hematologic examination and urinalysis were performed at the beginning and at the end of therapeutic examination and urinalysis were performed at the beginning and at the end of therapeutic period. The results were as follows. RESULTS: In exercise parameters, there were 19.2% increase in total work, 30.3% increase in exercise duration and 13% shortening in the normalization time of depressed ST-segment and these were no significant change in hemodynamic parameters(heart rate, blood pressure and maximum Rpp(rate pressure product)(p>0.05). The characters of chest pain were changed in the 19 patients, complete disappearance in 4 patients, reduction of intensity or frequency in 12 patients and aggravation in 3 patients. 2 patients complained of mild epigastric discomfort. There were no significant changes in hematologic findings and urinalysis. CONCLUSIONS: Trimetazidine 60mg per day was efficient in patients with angina and more observations are necessary in assessing the long-term therapeutic efficacy and side effects of this drug.
Acidosis ; Adenosine Triphosphate ; Angina Pectoris* ; Blood Pressure ; Calcium ; Chest Pain ; Exercise Test ; Exercise Tolerance ; Female ; Hemodynamics ; Humans ; Ischemia ; Male ; Muscle Cells ; Oxygen Consumption ; Sodium ; Trimetazidine* ; Urinalysis

STUDY DESIGN: The analysis was based on the sagittal and coronal correction of 64 cases of thoracic hyphokyphosis that were due to idiopathic scoliosis. PURPOSE: We wanted to compare the three pedicle screws and rod systems (using either a semirigid and rigid rod) from the view points of the coronal and sagittal plane correction during the surgical treatment of idiopathic scoliosis. SUMMARY OF LITERATURE REVIEW: There haven't been any reports that have compared the differences and their significance between the semirigid and rigid rod systems for correcting the thoracic hypokyphosis of idiopathic scoliosis. MATERIALS AND METHODS: After a minimum follow-up of 1 year, the results of the frontal and sagittal correction of each study group were compared. There were a total of 52 females and 12 males. The mean age at the time of surgical intervention was 16.4 (age range: 12~24). CD instrumentation with a rigid stainless steel rod (7 mm in diameter and 1200 N/mm for its stiffness) was used in group I (36 patients), and 4-CI instrumentation with a titanium alloy rod (6.35 mm in diameter and 1200 N/mm for its stiffness) was used in group II (18 patients). Xia instrumentation with a semi-rigid rod (6 mm in diameter and 600 N/mm for its stiffness) was used in group III (10 patients). For all patients undergoing the segmental pedicle screw fixation procedure, pedicle screws were inserted into every vertebra on the concave side, in the end of each vertebra and then alternately in every other vertebra on the convex side. We measured the preoperative and postoperative magnitude of the major and compensatory curves, the thoracic kyphotic angle on the standing radiographs and the flexibility of the curve. We statistically compared the correctability of thoracic kyphotic angle between the rigid and semi-rigid rods. RESULTS: The differences of preoperative and postoperative major curves in groups I, II and III were 47.3 degrees/12.7 degrees, 51.6 degrees/12.3 degrees and 49.6 degrees/13.3 degrees respectively. The thoracic kyphotic angle was 22.6 degrees/26.6 degrees, 22.0 degrees/26.9 degrees and 23.8 degrees/22.8 degrees, respectively. There was no significant difference for the correction of the coronal angle in each group, but groups I and II were superior to group III for the rate of correcting the kyphotic angle. CONCLUSION: The rod should be stiff enough to pull the spine posteromedially when using the derotation technique for the surgical treatment of idiopathic scoliosis.
Alloys ; Female ; Follow-Up Studies ; Humans ; Male ; Pliability ; Scoliosis* ; Spine ; Stainless Steel ; Titanium